ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it emphasizes the importance of using condoms in addition to implanted contraceptive methods to prevent STDs. This is crucial for dual protection.
Choice B is incorrect as petroleum-based lubricants can damage condoms.
Choice C is incorrect as condoms should not be tight to avoid breakage.
Choice D is incorrect as condoms are more effective for birth control when used with spermicides.
Extract:
A nurse in a long-term care facility is admitting a client with dementia.
Question 2 of 5
Which of the following actions should the nurse take to reduce the risk for client injury?
Correct Answer: C
Rationale: The correct answer is C: Raise the side rails up when the client is in bed. This action helps prevent the client from falling out of bed, reducing the risk for injury. Side rails provide physical barriers to keep the client safe while sleeping or resting. Keeping the television on during the night (
A) does not directly address the risk for client injury. Placing the bedside table at the foot of the bed (
B) is not as effective in preventing falls as raising the side rails. Assisting the client to the toilet frequently (
D) is important but does not specifically address the risk for client injury while in bed.
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 3 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 nurse in an acute care mental health facility is placing a client in seclusion and restraints.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C because releasing the restraints every 2 hours to assess circulation is essential in preventing complications such as impaired circulation, skin breakdown, and nerve damage. This action aligns with best practices in restraint use, promoting client safety and well-being. Documenting the client's behavior every 15 minutes (
A) is important but not the priority when dealing with restraint use. Obtaining a prescription for restraints within 4 hours (
B) may be necessary but does not address the ongoing assessment of circulation. Discontinuing restraints only when the provider removes the order (
D) does not ensure timely monitoring of the client's condition.
Extract:
A nurse is assessing a client following an esophagogastroduodenoscopy.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Abdominal pain. Abdominal pain is a significant finding that could indicate underlying health issues. The nurse should report it to the provider for further evaluation and management. Belching, flatulence, and sore throat are common symptoms that may not require immediate attention. Reporting abdominal pain is crucial for timely intervention.