ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it shows the client understands the concept of patient-controlled analgesia (PC
A) pump, where they will receive a limited amount of pain medication when they press the button. This indicates the client knows they have control over their pain relief.
Choice B is incorrect as having someone else press the button goes against the purpose of PCA, which is for the patient to self-administer medication.
Choice C is incorrect because unlimited medication can lead to overdose.
Choice D is incorrect as waiting for severe pain can lead to ineffective pain management.
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 2 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. In atrial fibrillation, the atria quiver instead of contracting effectively, leading to an irregular and rapid heart rate. This can be identified on an ECG by the absence of distinct P waves and irregular R-R intervals. Ventricular asystole (
A) is the absence of ventricular contractions, second-degree heart block (
B) is characterized by intermittent conduction block between the atria and ventricles, and sinus tachycardia (
C) is a regular rapid heart rate originating from the sinus node.
Extract:
A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Review the client's allergy history. This should be done first to prevent potential harm to the client from allergic reactions. Knowing the client's allergy history helps the nurse identify any potential risks associated with administering medications. Monitoring temperature (
B) and checking WBC count (
C) are important but come after ensuring the safety of medication administration. Explaining the purpose of medication (
D) is important but should be done after ensuring the client's safety.
Extract:
The nurse is caring for a client who is on bed rest.
Question 4 of 5
The nurse should recognize that which of the following findings is a complication of immobility
Correct Answer: C
Rationale: The correct answer is C: Swollen area on calf. Immobility can lead to blood pooling in the lower extremities, causing swelling, pain, and potentially leading to deep vein thrombosis (DVT). This is a serious complication that can result from prolonged periods of immobility. Increased blood pressure (choice
A) is not typically a direct complication of immobility. Urinary frequency (choice
B) is more commonly associated with conditions like urinary tract infections or overactive bladder, not immobility. Swollen area on the calf (choice
C) is a hallmark sign of potential DVT in immobile patients.
Extract:
A nurse is preparing to administer three medications to a client who is receiving continuous enteral feeding through an NG tube.
Question 5 of 5
Which of the following actions is appropriate for the nurse to take?
Correct Answer: D
Rationale: The correct answer is D: Flush the NG tube with 5 ml water. This action is appropriate because flushing the NG tube with water helps prevent clogging and ensures proper medication administration. Adding medication directly to enteral feeding (choice
A) can lead to tube clogging. Dissolving medications together (choice
B) can alter their effectiveness. Using a syringe to allow medications to flow by gravity (choice
C) may not be sufficient for complete administration. Flushing the NG tube with water (choice
D) maintains tube patency. No further choices provided.