ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is planning care for a client who sustained a major burn over 20% of the body.
Question 1 of 5
Which of the following interventions should the nurse include to support the client's nutritional requirements?
Correct Answer: B
Rationale: The correct answer is B: Provide a high-calorie, high-protein diet. This intervention is essential for meeting the client's nutritional requirements as it helps in providing the necessary energy and building blocks for tissue repair and maintenance. High-calorie and high-protein diets are particularly important for individuals with increased nutritional needs, such as those recovering from illness or surgery. Calorie counting (
A) is important but not as crucial as ensuring the client receives adequate calories and proteins. Encouraging a low-fat diet (
C) may not be suitable for all clients, especially those who require higher calorie intake. Restricting oral intake and providing IV fluids only (
D) is not an appropriate intervention unless absolutely necessary for medical reasons.
Extract:
A nurse is caring for a client who has heart failure.
Question 2 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in the lungs. This manifestation is expected because crackles indicate fluid accumulation in the lungs, which is common in conditions like heart failure. Bradycardia (
B) is unlikely as heart failure often causes tachycardia. Dry mucous membranes (
C) are more indicative of dehydration. Weight loss (
D) is not a typical manifestation of heart failure. Hence, crackles in the lungs are the most relevant manifestation.
Extract:
A nurse caring for a client in the outpatient mental health clinic
Vital signs
2 months ago:
BP 128/78 mm Hg
Heart rate 76/min
Respiratory rate 17/min
Today
BP 169/91 mm HG
Heart rate 78/min
Respiratory rate 18/min
Nurses' Notes
Today
Client states, "I'm feeling much better." They report less fatigue, even though they have
difficulty sleeping. Client reports they are not sad anymore but are experiencing more frequent
headaches. Client continues to deny any suicidal ideation.
Question 3 of 5
Select the findings that indicate the client is experiencing adverse effects of the medication.
Correct Answer: B,D
Rationale: Hypertension and difficulty sleeping are potential side effects of certain medications.
Extract:
A nurse and assistive personnel are assigned a group of clients on the unit.
Question 4 of 5
Which of the following clients should the nurse instruct the AP to report to the nurse?
Correct Answer: D
Rationale: The correct answer is D. A blood pressure of 88/52 mmHg is considered hypotensive and requires immediate attention. The nurse should instruct the AP to report this client to the nurse promptly for further assessment and intervention to prevent potential complications such as shock.
Choice A is incorrect because not receiving compression stockings, while important, does not pose an immediate threat to the client's health.
Choice B is incorrect as assisting a client to the restroom is within the scope of the AP's duties and does not require immediate attention from the nurse.
Choice C is incorrect as eating only 50% of a meal does not indicate an urgent issue that needs to be reported to the nurse.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues. The nurse should report it to the provider for further evaluation and management. Belching, flatulence, and sore throat are common symptoms that may not require immediate attention. Reporting abdominal pain is crucial for timely intervention.