ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is reviewing the medication administration record of a client.
Question 1 of 5
Which of the following prescriptions should the nurse clarify?
Correct Answer: A
Rationale: The correct answer is A: Digoxen 250 PO daily. The nurse should clarify this prescription because "Digoxen" is misspelled; the correct spelling is "Digoxin." This error could lead to confusion and potential medication errors. The other choices do not contain spelling errors or dosage frequency issues that require clarification. It is crucial to ensure accurate medication administration to prevent harm to the patient.
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 is reviewing the medical records of four clients.
Question 3 of 5
The nurse should identify that which of the following client findings requires follow-up care?
Correct Answer: C
Rationale: The correct answer is C. A client taking warfarin with an INR of 1.8 indicates a low INR, which means the blood is not anticoagulated enough, putting the client at risk for clot formation. This finding requires follow-up care to adjust the warfarin dose.
Choice A is incorrect because an induration after a Mantoux test is an expected finding.
Choice B is incorrect as taking sodium phosphate before a colonoscopy is a common preparation.
Choice D is incorrect as a potassium level of 3.6 mEq/L is within the normal range.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-oid, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and
spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours
ago and is a greenish color.” Client also reports contractions began about 4 hr ago and have
become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad.
Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min.
Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this
pregnancy. Also states was diagnosed with gestational diabetes at 28 weeks of gestation.
Question 4 of 5
For each potential assessment finding, click to specify if the finding is consistent with chorioamnionitis or preeclampsia. Each finding may support more than one disease process. Note: Each column must have at least 1 response option selected.
| Findings | Chorioamnionitis | Preeclampsia |
|---|---|---|
| Elevated uric acid level | ||
| Blurred vision | ||
| Decreased platelet count | ||
| Purulent amniotic fluid | ||
| Fever |
Correct Answer: B,C,D,E
Rationale: Findings like fever, purulent amniotic fluid, decreased platelets, and elevated uric acid support chorioamnionitis. Blurred vision is more indicative of preeclampsia.
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 5 of 5
Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B: Tell the client, 'You seem to be very upset.' This response shows empathy and validates the client's feelings, which can help de-escalate the situation. It acknowledges the client's emotions without escalating them further. Initiating seclusion protocol (
A) is inappropriate as it can escalate the situation and is a last resort for safety. Standing directly in front of the client and maintaining eye contact (
C) can be perceived as confrontational and may escalate the situation. Speaking in a firm and authoritative tone (
D) can further aggravate the client and escalate the situation.