ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has an implanted venous access port.
Question 1 of 5
Which of the following should the nurse use to assess the port?
Correct Answer: C
Rationale: The correct answer is C: A noncoring needle.
To assess the port, a noncoring needle should be used. This type of needle is specifically designed for accessing ports without causing damage to the septum. Using an Angio catheter (
A) may be too large and cause damage, a butterfly needle (
B) is not designed for port access, and a 25-gauge needle (
D) may be too small and ineffective.
Therefore, a noncoring needle is the most appropriate choice for assessing a port.
Extract:
A nurse in an antepartum unit is caring for a client.
Nurses' Notes
2000:
Client is 38-year-old, 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 were diagnosed with gestational diabetes at 28 weeks of gestation.
Vital Signs
2000:
Temperature 36.7° C (98.1° F)
Heart rate 98/min
Respiratory rate 20/min
Blood pressure 128/84 mm Hg
Oxygen saturation 98% on room air
Question 2 of 5
Select the 2 findings that require immediate follow-up.
Correct Answer: C,E
Rationale: An elevated fetal heart rate and meconium-stained amniotic fluid indicate potential distress, necessitating urgent intervention.
Extract:
A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, Providing constant care is very stressful and is affecting all areas of my life.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assist the caregiver to arrange a daycare program for the client. This option promotes respite for the caregiver, preventing burnout and ensuring client’s safety.
Choice B may not provide tangible support.
Choice C may minimize caregiver's concerns.
Choice D may increase caregiver's stress.
Extract:
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
Question 4 of 5
The nurse should recognize which of the following findings as a potential contraindication for using lavender?
Correct Answer: A
Rationale: The correct answer is A: The client has a history of asthma. Lavender oil can trigger asthma symptoms in some individuals due to its potential respiratory irritant properties. Asthma patients may experience worsened breathing difficulties or allergic reactions when exposed to lavender. This contraindication is crucial to consider when using lavender aromatherapy.
Choices B, C, and D are incorrect as they do not specifically relate to potential contraindications with lavender use.
Choice B (client takes furosemide) and choice D (client takes vitamin
C) do not typically interact negatively with lavender.
Choice C (client has a history of alcohol use disorder) is not a direct contraindication for lavender use.
Extract:
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Question 5 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: Feelings of hopelessness or worthlessness are common in depressive episodes.