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 demonstrates the client's comprehension of the concept of patient-controlled analgesia (PC
A). By stating "I will receive a limited amount of pain medication when I press the button," the client shows an understanding that the PCA pump delivers a set dose of medication upon activation. This indicates awareness of the mechanism and purpose of the PCA pump.
Choice B is incorrect as it suggests having someone else press the button, which goes against the principle of patient-controlled administration.
Choice C is incorrect because it implies unlimited access to medication, which could lead to overdose.
Choice D is incorrect as it suggests waiting for severe pain, which may compromise effective pain management.
Extract:
The nurse is discussing discharge plans with an older adult client who lives alone and has left sided weakness following a stroke
Question 2 of 5
Which of the following information is the priority for the nurse to discuss?
Correct Answer: B
Rationale: The correct answer is B because obtaining an alert system for help in case of a fall is the priority. This is crucial for immediate assistance and safety in case of emergencies. Discussing support groups (
A) can be beneficial but is not as urgent. Providing transportation resources (
C) and choosing a home physical therapy agency (
D) are important but not immediate priorities compared to ensuring immediate help in case of a fall.
Extract:
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Question 3 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: Feelings of hopelessness or worthlessness are common in depressive episodes.
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 nurse is preparing to insert an IV catheter for a client.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Choose a vein that is palpable and straight. This is because selecting a palpable and straight vein makes it easier to insert the needle successfully, reducing the risk of complications such as infiltration or hematoma. Elevating the client's arm prior to insertion (
A) may help with venous return but doesn't directly impact vein selection. Selecting a site on the client's dominant arm (
B) is not necessary; either arm can be used. Applying a tourniquet below the venipuncture site (
C) can help with vein visualization but doesn't ensure proper vein selection.