ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 1 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct statement to include in the hand-off report is A: The estimated blood loss was 250 mL. This information is crucial for continuity of care as it provides important data about the client's condition post-surgery, aiding in monitoring for potential complications. The other choices (B, C,
D) are not as pertinent in a hand-off report as they do not directly impact the client's immediate health status or require immediate attention. Blood loss is a critical factor in assessing a client's postoperative status and can indicate the need for further interventions.
Therefore, including the estimated blood loss in the hand-off report ensures that incoming staff are aware of any potential issues that may arise due to this factor.
Extract:
A nurse is caring for a client who is one hour postpartum and unable to urinate.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Encourage the client to void in the shower. This is the most appropriate choice as it promotes relaxation and can help stimulate urination. By encouraging the client to void in the shower, the warm water and relaxed environment can aid in facilitating the process. Placing the hand in warm water (
A) may provide some comfort but does not directly address the issue of promoting urination. In-and-out catheterization (
B) is invasive and should only be performed if absolutely necessary. Applying fundal pressure (
D) is not recommended as it can cause harm and is not a standard practice for stimulating urination.
Extract:
A nurse is assessing the fontanels of 8-month-old infant.
Question 3 of 5
which of the following findings should the nurse recognize as an expected finding?
Correct Answer: A
Rationale: The correct answer is A: The anterior fontanel is open. This is an expected finding in infants as the anterior fontanel is a soft spot on the baby's skull that allows for brain growth. It typically closes by 18-24 months. The posterior fontanel closing by 2-3 months makes choice B incorrect.
Choice C, sunken anterior fontanel, indicates dehydration, while choice D, bulging anterior fontanel, can be a sign of increased intracranial pressure, both of which are abnormal findings.
Extract:
A nurse is admitting an older adult client who was transferred from another facility.
Question 4 of 5
Which action should the nurse take to address suspicion of elder abuse?
Correct Answer: C
Rationale: Reporting findings to authorities is essential in suspected cases of elder abuse.
Extract:
Question 5 of 5
A charge nurse is teaching a newly licensed nurse about medication Administration. Which of the following information should the charge nurse include?
Correct Answer: C
Rationale: The correct answer is C: Read medication labels at least two times prior to administration. This is crucial to ensure the right medication is given to the right patient in the right dose and route. Reading the label twice helps to minimize errors.
Choice A is incorrect because the focus should be on accuracy rather than the number of clients.
Choice B is important but does not directly address medication safety.
Choice D is important for patient safety but is specific to adverse events, not medication administration.