ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is assessing a client who has type one diabetes myelitis and was administered insulin lispro 1 hour ago.
Question 1 of 5
Which of the following manifestations indicates that the client might be experiencing hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Confusion. Hypoglycemia is characterized by low blood sugar levels, leading to neuroglycopenic symptoms like confusion. Increased thirst (
B) and frequent urination (
C) are more indicative of hyperglycemia. Flushed skin (
D) is not typically associated with hypoglycemia.
Extract:
A nurse is providing teaching to the parents of a newborn about newborn genetic screening.
Question 2 of 5
Which statement should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: The test should be performed after your baby is 24 hours old. This statement is important because genetic screening tests are more accurate when performed after the baby is at least 24 hours old. Testing too early can lead to false results.
Choice B is incorrect as genetic screening may be recommended for all newborns regardless of family history.
Choice C is incorrect as babies can eat before the test.
Choice D is incorrect as further testing may be necessary if the first test is abnormal.
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 3 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. The nurse should identify the cardiac rhythm as atrial fibrillation because it is characterized by irregular, rapid electrical activity in the atria leading to an irregular, fast heart rate. This can result in poor blood flow and increase the risk of stroke. Ventricular asystole (
A) is the absence of ventricular electrical activity, second-degree heart block (
B) is a conduction disorder where some electrical signals from the atria do not reach the ventricles, and sinus tachycardia (
C) is a fast but regular heart rate originating from the sinus node. These options are incorrect as they do not match the characteristics of atrial fibrillation.
Extract:
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
Question 4 of 5
The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: A
Rationale: The correct answer is A: The client has a history of asthma. Lavender oil can trigger asthma symptoms in some individuals due to its potential respiratory irritant properties. Asthma patients may experience worsened breathing difficulties or allergic reactions when exposed to lavender. This contraindication is crucial to consider when using lavender aromatherapy.
Choices B, C, and D are incorrect as they do not specifically relate to potential contraindications with lavender use.
Choice B (client takes furosemide) and choice D (client takes vitamin
C) do not typically interact negatively with lavender.
Choice C (client has a history of alcohol use disorder) is not a direct contraindication for lavender use.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.