ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A charge nurse is observing A newly licensed nurse provide care for a client who is post-operative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void.
Question 1 of 5
Which of the following torts should the charge nurse identify as having occurred?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional threat of harmful or offensive contact, causing fear in the victim. In this scenario, if a nurse threatened a patient or coworker, it would be considered assault. Battery involves actual physical contact, false imprisonment is restraining someone unlawfully, and negligence is failing to exercise reasonable care. In this case, assault is the most appropriate choice as it aligns with the deliberate threat aspect of the situation.
Extract:
A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections.
Question 2 of 5
Which of the following interventions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Urinate immediately after sexual intercourse. This intervention helps prevent urinary tract infections by flushing out bacteria that may have entered the urethra during intercourse. Drinking warm water (
A) is not necessary in this context. Wiping back to front (
B) can introduce bacteria into the urinary tract. Limiting fluid intake (
D) is not recommended as it can concentrate urine and increase the risk of UTIs.
Extract:
A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hours ago. The nurse notes pink tinged urine and the drainage bag.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Maintain the irrigation solution rate. This is the appropriate action because sudden changes in irrigation solution rate can lead to complications in catheter irrigation. Consistency is key to prevent disruption in the flow and maintain catheter patency. Increasing the rate (choice
B) can lead to overhydration or pressure build-up. Clamping the catheter (choice
C) can cause obstruction and retention of urine, leading to potential complications. Notifying the provider immediately (choice
D) is not necessary unless there are significant issues or complications. Other choices lack a logical rationale or are potentially harmful. Maintaining the irrigation solution rate ensures proper catheter function and patient safety.
Extract:
Question 4 of 5
A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea. Dyspnea in a client with a history of pulmonary embolism is a critical finding as it could indicate a recurrence or worsening of a pulmonary embolism, which is a life-threatening emergency. The nurse should report this immediately to the provider for further evaluation and intervention to prevent complications. Pain at the surgical site (
B) is expected postoperatively and can be managed with pain medication. Mild nausea (
C) is a common postoperative symptom that may not require immediate intervention. A temperature of 37.5°C (99.5°F) (
D) is a low-grade fever that may be due to the body's response to surgery and is not as concerning as dyspnea in this context.
Extract:
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication.
Question 5 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Speak in a neutral tone when addressing the client. This intervention is important as it helps maintain a calm and non-confrontational communication approach, which is crucial when interacting with clients experiencing delusions. Speaking in a neutral tone can prevent escalating the client's anxiety or paranoia, promoting a more open and effective dialogue.
Choice B is incorrect as forcing the client to take medication can lead to resistance and further exacerbate trust issues.
Choice C is incorrect as encouraging the client to discuss their delusions without a neutral tone may reinforce the delusions rather than help the client gain insight.
Choice D is incorrect as using humor may not be appropriate or effective in addressing the client's delusions and could potentially be perceived as insensitive.