ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the caregiver's potential need for support and offers information on respite care, showing empathy and understanding.
Choice B is incorrect as it overlooks the caregiver's own needs and can come off as dismissive.
Choice C may be true for some individuals, but it doesn't address the caregiver's current struggles.
Choice D places undue pressure on the caregiver to suppress their own emotions.
Extract:
The nurse is continuing to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 2 of 5
The nurse is providing teaching about lithium to the client and client's adult child. Select the 3 statements the nurse should include.
Correct Answer: B,C,E
Rationale: Blurred vision is not typical; lithium takes time to reach therapeutic levels, causes nausea/drowsiness, and often leads to weight gain. A low-sodium diet is contraindicated due to risk of toxicity.
Extract:
A nurse is caring for a client
Nurses: Notes
0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the
morning assessment, the client reports blurred vision and an increase in urine output. it's noted
that the client is having clonic jerking of upper extremities: Provider notified and laboratory tests
ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options.
Question 3 of 5
The nurse understands that the patient has likely developed lithium toxicity and will be monitored for-------
Correct Answer: B
Rationale: The correct answer is B: seizure activity. Lithium toxicity can lead to neurological symptoms, including seizures. Monitoring for seizure activity is crucial to prevent serious complications. Blood glucose levels (
A) are not typically affected by lithium toxicity. Symptoms of infection (
C) and high temperature (
D) are not directly related to lithium toxicity.
Extract:
A nurse is caring for a client.
Laboratory Results
Week 1:
WBC count 8,000/mm³ (5,000 to 10,000/mm³)
Platelets 350,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Week 2:
WBC count 3,800/mm³ (5,000 to 10,000/mm³)
Platelets 150,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
Vital Signs
Week 2:
Temperature 38.6° C (101.5° F)
BP 114/56 mm Hg
Heart rate 102/min
Respiratory rate 24/min
Oxygen saturation 93% on room air
Question 4 of 5
A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up?
Correct Answer: C,D
Rationale: Decreased WBC count and elevated temperature suggest infection, requiring follow-up. Potassium levels remain within normal range, so no action is needed.
Extract:
A school nurse is teaching a parent about absence seizures.
Question 5 of 5
Which information should the nurse include?
Correct Answer: E
Rationale: The correct answer is E because lip smacking or eye fluttering are common signs of absence seizures. This information is crucial for the nurse to include as it helps in recognizing and distinguishing absence seizures from other types.
Choice A is incorrect as it focuses on the behavioral aspect rather than the physical signs of absence seizures.
Choice B is incorrect as absence seizures can last up to 20 seconds.
Choice C is incorrect as individuals with absence seizures typically do not have memory issues post-seizure.
Choice D is incorrect as some individuals may experience warning signs like a brief aura before an absence seizure.