ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is teaching a prenatal class about infection prevention at a community center.
Question 1 of 5
Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid cleaning my cat's litter box during pregnancy." This statement shows understanding of the teaching because it demonstrates awareness of the risk of toxoplasmosis from cat feces during pregnancy.
Toxoplasmosis can harm the developing fetus.
Choice A is incorrect because antibiotics do not treat viruses.
Choice B is incorrect as chickenpox is contagious before and during crusting of sores.
Choice D is incorrect as flu vaccine is recommended during pregnancy to protect both mother and baby.
Extract:
The nurse is continuing to care for the client.
Provider Prescriptions Day 1,
1030
Admit to obstetrical unit.
Serum magnesium level per facility policy 24 hr urine
for total protein and creatinine Insert indwelling
urinary catheter Continuous external fetal monitoring
Administer loading dose of magnesium sulfate 4 g via Intermittent IV bolus over 20 min
followed by a maintenance dose of 2 g/hr
Lactated Ringer's 50 ml/tr via continuous iV infusion Betamethasone
12 mg IM X2 doses given 24 hr apart
Labetalol 20 mg IV bolus now, then 100 mg PO twice dally starting at 2000 Vital signs every 30
min
Acetaminophen 650 mg PO every 6 hr PRN pain Hourly intake and
output
Question 2 of 5
The provider has admitted the client to the inpatient obstetrics unit and written prescriptions based on the client's condition. The action the nurse should take first is------followed by ----------
Correct Answer: C,D
Rationale: First, checking the client's blood pressure (
C) is crucial to assess the client's immediate condition and determine if there are any signs of hypertensive crisis that require immediate intervention. Administering labetalol (
D) is the next step if the blood pressure is elevated, as this medication helps lower blood pressure in cases of preeclampsia or hypertension, which could pose a risk to both the client and the fetus. Evaluating the fetal heart rate (
A) is important but can be done after stabilizing the client's blood pressure. Monitoring urine output (
B) is important for assessing renal function but is not as urgent as addressing blood pressure. Starting continuous IV infusion (E) and inserting a urinary catheter (F) may be necessary later but are not the immediate priority in this situation.
Extract:
A school nurse is performing scoliosis screening.
Question 3 of 5
The nurse should recognize which of the following clinical manifestations as an indication of scoliosis?
Correct Answer: A
Rationale: The correct answer is A: Uneven shoulder and pelvic heights. Scoliosis is characterized by a lateral curvature of the spine, leading to uneven shoulder and pelvic heights. This is a classic clinical manifestation of scoliosis, as the spine's abnormal curvature causes the body to tilt to one side, resulting in the uneven alignment of the shoulders and pelvis. Symmetrical scapulae (
B), equal leg lengths (
C), and straight spinal alignment (
D) are not indicative of scoliosis, as scoliosis specifically involves a lateral, often S-shaped, curvature of the spine.
Extract:
A nurse is caring for a client who is alert and oriented and is receiving continuous ECG monitoring. The cardiac rhythm strips shows a wavy baseline, no distinguishable P waves, and an increased heart rate.
Question 4 of 5
The nurse should identify the cardiac rhythm as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Atrial fibrillation. The nurse should identify the cardiac rhythm as atrial fibrillation because it is characterized by irregular, rapid electrical activity in the atria leading to an irregular, fast heart rate. This can result in poor blood flow and increase the risk of stroke. Ventricular asystole (
A) is the absence of ventricular electrical activity, second-degree heart block (
B) is a conduction disorder where some electrical signals from the atria do not reach the ventricles, and sinus tachycardia (
C) is a fast but regular heart rate originating from the sinus node. These options are incorrect as they do not match the characteristics of atrial fibrillation.
Extract:
A home health nurse is planning care for a client who has Alzheimer's disease.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the top of exterior doors. This action is important in the plan of care to ensure the safety of the individual, especially if they have a condition like dementia. Placing locks at the top of exterior doors can prevent the individual from wandering off or getting into potentially dangerous situations. Encouraging physical activity prior to bedtime (
A) may disrupt sleep patterns. Replacing carpet with hardwood floors (
B) may not be necessary for safety. Wearing clothing with zippers instead of buttons (
C) is not as critical for safety as securing exterior doors.