ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in an outpatient clinic is caring for a client.
Assessment
0840:
Client is calm and cooperative. Skin warm and dry. No rash noted. Lung sounds clear. Abdomen
soft to palpation with fundal height at 20 cm. Fetal heart rate 150/min. Bowel sounds active in all
four quadrants. No edema to lower extremities. Client denies visual changes or severe headaches.
Weight gain of 1.8 kg (4 lb) since last visit. Small amount of mucoid discharge noted on perineal
pad
Laboratory Results
0900:
Urine dipstick:
pH 6.0 mg/d (4.6 to 8 mg/dL)
Specific Gravity 1.022 (1.010 to 1.025)
Leukocyte esterase negative (Negative)
Nitrite negative (Negative)
Protein trace negative (Negative)
Glucose negative (Negative)
Ketones none (None)
Bilirubin none (None)
Blood none (None)
Nurses' Notes
0830:
Client reports to clinic for monthly prenatal visit. Client is at 20 weeks of gestation. Since last
visit, client reports concerns about the occurrence of intermittent mild backaches, increased
heartburn, generalized itching, and vaginal discharge.
Vital Signs
0830:
BP 124/68 mm Hg
Heart rate 80/min
Temperature 37° C (98.6° F)
Respiratory rate 16/min
Weight 67.1 kg (148 lb)
Question 1 of 5
Which of the following statements should the nurse include in the client's teaching?
Correct Answer: B,D,F
Rationale: Wearing flat shoes, wearing loose-fitting clothes, and avoiding fried foods are beneficial practices during pregnancy.
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 was diagnosed with gestational diabetes at 28 weeks of gestation.
2020:
Contractions occurring every 4 to 5 min, lasting 40 to 60 seconds. Small amount of bloody show
noted when changing disposable pad on bed. Client rates contraction pain as a 5 on a scale of 0
to 10, breathing well through contractions., FHR 168/min, minimal variability. Client denies
epigastric pain or visual disturbances. Trace of edema noted to bilateral lower extremities
Question 2 of 5
The nurse should first notify the provider about------- followed by the-----------
Correct Answer: C
Rationale: The green color of amniotic fluid indicates meconium-stained fluid which can be a sign of fetal distress.
Extract:
The nurse is continuing to care for the client. Nurses'
Notes
Day 1, 0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by
acetaminophen. Client also reports urinary frequency and decreased fetal movement.
Client is a G3 P2 with one preterm birth.
Day 1, 0930:
Client reports a constant and throbbing headache and rates it as a 6 on a scale of 0 to 10. Denies
visual disturbances, +3 pitting edema in bilateral lower extremities. Patellar reflex 4+ without
the presence of clonus. Client reports occasional nighttime leg cramps. Reports three fetal
movements within the last 30 min. External fetal monitor applied with a baseline FHR 140/min
with occasional accelerations and moderate variability. No uterine contractions noted.
The nurse is initiating the client's plan of care. Which of the following Interventions should the
nurse plan to implement?
Question 3 of 5
The nurse is initiating the client's plan of care. Which of the following Interventions should the nurse plan to implement?
Correct Answer: A,B,C,D,E,F
Rationale: The correct answer includes a comprehensive approach to the client's care:
A) Providing a low-stimulation environment promotes rest and healing,
B) Maintaining bed rest may be necessary for certain conditions,
C) Giving antihypertensive medication addresses specific medical needs,
D) Administering betamethasone is a common intervention for various conditions, E) Monitoring intake and output hourly is crucial for assessing fluid balance, and F) Obtaining a 24 hr urine specimen helps in evaluating kidney function. These interventions cover a range of physiological and psychological aspects of care, making them essential for the client's well-being.
Choices G is incorrect as performing vaginal examinations every 12 hours is not a standard or appropriate intervention unless indicated for a specific reason.
Extract:
A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for blood glucose management.
Question 4 of 5
Which type of insulin should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A: Glargine insulin. Glargine is a long-acting insulin with a flat and consistent action profile, providing basal insulin coverage. This type of insulin is typically administered once daily at the same time each day to maintain a consistent level of insulin in the body. Regular insulin (
B) is short-acting and is typically taken before meals to cover blood sugar increases from eating. NPH insulin (
C) is intermediate-acting and requires twice daily dosing. Insulin aspart (
D) is a rapid-acting insulin used to control postprandial glucose levels. In this scenario, glargine insulin is the most appropriate choice for basal insulin coverage.
Extract:
A nurse enters a client's room and sees a small fire in the client's bathroom.
Question 5 of 5
Identify the sequence of steps the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: Activate the facility's fire alarm system. This is the first step the nurse should take in case of a fire emergency to alert everyone in the building and initiate evacuation procedures. By activating the fire alarm system, all occupants including staff and patients will be notified of the fire, allowing for a quicker response from emergency services and a safer evacuation. Closing windows and doors (
A) can help prevent the fire from spreading, but it is not the initial priority. Transporting the client (
B) may put them at risk and should only be done if safe to do so. Using the fire extinguisher (
C) should only be attempted if trained and the fire is small and contained.