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, a blood thinner. Warfarin works by inhibiting clotting factors, and NSAIDs can interfere with this mechanism, leading to an increased risk of bleeding. Metformin, Lisinopril, and Albuterol do not have significant interactions with warfarin, making them compatible.
Extract:
Admission Assessment
Client reports new onset of fever and discomfort in their joints and increase malaise. No relevant
medical history. Client is alert to person, place, time, and situation. Reports generalized pain as 4
on a scale of 0 to 10. Macular rash present on cheeks bilateral. Lungs clear anterior and posterior.
Bowel sounds active in all 4 quadrants. Last bowel movement 1 day ago. Skin warm, dry, and
intact. Capillary refill less than 3 seconds. A 20-gauge IV saline lock inserted in back left hand
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing.
Correct Answer: B,C
Rationale: Increased fluid intake and contact precautions are essential for managing systemic lupus erythematosus.
Extract:
Nurses' Notes
Day 1, 0915:
The client's adult child reports the client has not slept for 2 days and has become obsessed with
cleaning the house and hosting parties. At times the client is overly joyous and has a very
elevated sense of self-confidence. The adult child states that the client has also demonstrated
very impulsive spending habits and expresses concern about the client giving away large sums
of money to others.
The client's speech is very pressured, disorganized, and loud. Client unable to recall the last time
they ate.
Day 1, 0930:
Client questioned about their hallucinations and states that the same person has been following
them around inside and outside the house for days. Client asks the person what they want but
never receives an answer, Client states that this person has never told them to do anything: they
just stare and smile.
Question 3 of 5
For each assessment finding, click to specify if the finding is consistent with psychosis or mania.
Correct Answer: A,B,C,D,E
Rationale: Both psychosis and mania can present with hallucinations, lack of sleep, excessive spending, disorganized thoughts, and pressured speech. These symptoms overlap but are characteristic of both conditions.
Extract:
A nurse is obtaining the temperature of a newborn.
Question 4 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.
Extract:
A community health nurse is working with a group of clients.
Question 5 of 5
Which task should the nurse perform to practice distributive justice?
Correct Answer: E
Rationale: The correct answer is E because developing programs addressing social determinants of health promotes distributive justice by reducing health disparities. Social determinants, such as income and education, greatly impact health outcomes. By addressing these factors through programs, the nurse ensures that all individuals have equal opportunities for good health.
Choice A focuses on individual care, not systemic change.
Choice B deals with resource allocation, not addressing underlying disparities.
Choice C emphasizes individual medical necessity over systemic justice.
Choice D is important but does not directly address social determinants.