ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has heart failure.
Question 1 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 is caring for a client in an outpatient clinic.
Laboratory Results
First office visit:
Erythrocyte sedimentation rate (ESR) 21 mm/hr (up to 20 mm/hr)
Hct 36% (37 to 47%6)
Hgb 12 g/dL (12 to 16 g/dL)
WBC count 6000/mm³ (5,000 to 10,000/mm³)
Uric acid 6.1 mg/dL (2.7 to 7.3 mg/dL)
6-month follow-up:
Erythrocyte sedimentation rate (ESR) 22 mm/hr (up to 20 mm/hr)
Antinuclear antibodies (ANA) positive
Hct 35% (37 to 47%)
Hgb 11 g/dL (12 to 16 g/dL)
WBC 4000/mm³ (5,000 to 10,000/mm³)
Uric acid 6,3 mg/dL (2.7 to 7.3 mg/dL)
Question 2 of 5
The client is at highest risk for developing--------- evidenced by the client's--------
Correct Answer: D,G
Rationale: Decreased WBC count and elevated ESR suggest systemic lupus erythematosus.
Extract:
A nurse is teaching dietary guidelines to a client who has celiac disease.
Question 3 of 5
Which of the following food choices is appropriate for this client?
Correct Answer: B
Rationale: The correct answer is B: Potato pancakes. This option is appropriate as it is likely a high-calorie and high-protein food choice suitable for a client who needs to increase their energy intake. Potato pancakes are typically made with grated potatoes, which provide complex carbohydrates and some protein. Canned barley soup (
A) may not offer sufficient calories. Wheat crackers (
C) are lower in calories and protein compared to potato pancakes. White flour tortillas (
D) are also lower in protein and may not provide the necessary energy for the client.
Extract:
A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct action is to protect the IV bag from exposure to light (
Choice
C) to prevent photochemical degradation of the medication inside, which can reduce its effectiveness or cause potential harm to the patient. Keeping calcium gluconate at the client's bedside (
Choice
A) is not necessary unless specifically indicated. Monitoring blood pressure every 2 hours (
Choice
B) is important but not directly related to IV bag exposure to light. Attaching an inline filter to the IV tubing (
Choice
D) is a good practice to prevent particulate matter from entering the patient's bloodstream but is not the most critical action in this scenario.
Extract:
A nurse is obtaining the temperature of a newborn.
Question 5 of 5
Which of the following sites should the nurse use?
Correct Answer: B
Rationale: The nurse should use the rectal site for temperature measurement because it provides the most accurate core body temperature. The rectal site closely reflects internal temperature and is recommended for infants, young children, and unconscious patients. Axillary, oral, and tympanic sites can be influenced by external factors, resulting in less accurate readings. Rectal temperature is considered the gold standard for accurate measurement in certain patient populations.