ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is consulting A pharmacological reference about medication compatibility prior to administering warfarin to a client.
Question 1 of 5
Which of the following medications should the nurse identify as being incompatible with warfarin?
Correct Answer: A
Rationale: The correct answer is A: Naproxen. Naproxen is a nonsteroidal anti-inflammatory drug (NSAI
D) that can increase the risk of bleeding when taken with warfarin, an anticoagulant. This is due to their combined effects on blood clotting. Metformin, Lisinopril, and Albuterol do not have a significant interaction with warfarin in terms of bleeding risk.
Therefore, the nurse should identify Naproxen as incompatible with warfarin to prevent potential adverse effects.
Extract:
A charge nurse is observing A newly licensed nurse provide care for a client who is post-operative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void.
Question 2 of 5
Which of the following torts should the charge nurse identify as having occurred?
Correct Answer: A
Rationale: The charge nurse should identify assault as having occurred. Assault is the intentional act that causes a person to fear they will be harmed. In this case, if a healthcare provider threatens a patient with a procedure without their consent, it constitutes assault. Battery, on the other hand, is the intentional harmful or offensive touching of a person without consent. False imprisonment involves restraining a person against their will, which is not described in the scenario. Negligence refers to a failure to exercise reasonable care, and it does not apply here as the situation involves intentional actions.
Extract:
A nurse is caring for a client who is in active labor.
Question 3 of 5
The nurse should notify the provider for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Prolonged decelerations. This finding indicates potential fetal distress, requiring immediate provider notification to assess and intervene. Baseline fetal heart rate (
A) within normal range is reassuring. Three uterine contractions (
B) could be normal. Moderate variability (
D) is a positive sign of fetal well-being. The focus should be on abnormal findings like prolonged decelerations (
C) that may indicate compromised fetal oxygenation.
Extract:
A nurse is planning care for a client who is scheduled to receive a transfusion of packed RBCs.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A. Using a solution of 0.9% sodium chloride to flush the transfusion tubing is essential to ensure compatibility and prevent potential reactions between the blood product and other solutions. This is a standard practice to maintain the integrity of the blood product and prevent contamination. Flushing with lactated Ringer's solution (
B) would introduce a different electrolyte composition that may affect the blood product. Administering the transfusion through a 24-gauge IV catheter (
C) may not be appropriate for blood transfusions due to the risk of hemolysis or clotting. Infusing the blood over a maximum of 6 hours (
D) is a general guideline for blood transfusions but is not the immediate action the nurse should plan to take.
Extract:
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets a respiratory rate of 10/min.
Question 5 of 5
After securing the client's airway and initiating an IV, which of the following actions should the nurse do next.
Correct Answer: A
Rationale: The correct answer is A: Administer flumazenil to the client. Flumazenil is a specific benzodiazepine receptor antagonist used to reverse the effects of benzodiazepine overdose, which includes respiratory depression. Administering flumazenil would help reverse the sedative effects of benzodiazepines and improve the client's respiratory status. Initiating gastric lavage with activated charcoal (
B) is not the immediate priority after securing the airway and IV. Placing the client in the Trendelenburg position (
C) is not recommended due to potential complications. Obtaining a stat CT scan of the brain (
D) is not necessary at this point and does not address the immediate concerns of airway and sedation reversal.