ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A charge nurse is teaching a new staff member about factors that increase a client's risk to become violent.
Question 1 of 5
Which risk factor should the nurse include as the best predictor of future violence?
Correct Answer: A
Rationale: The correct answer is A: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Research shows that individuals with a history of violence are more likely to engage in violent behavior again. This pattern of behavior is often consistent over time. Low self-esteem (
B), substance use disorder (
C), and a history of depression (
D) can contribute to violence but are not as reliable predictors as previous violent behavior. These factors may increase the risk of violence but do not have the same level of predictive value as an individual's history of violent behavior.
Extract:
A nurse is caring for a client in the active phase of labor who has decided to have a natural childbirth.
Question 2 of 5
Which pain management technique should the nurse suggest?
Correct Answer: B
Rationale: Breathing techniques are effective for managing pain during natural childbirth.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. In response to infection, the body releases pyrogens that reset the hypothalamic thermostat leading to fever. This is a common manifestation indicating an immune response. Bradycardia (
B) is unlikely in an infection as the body usually increases heart rate to pump more blood. Dry skin (
C) is not directly related to infection but may occur due to dehydration. Decreased respiratory rate (
D) is uncommon in infections as the body usually increases respiratory rate to meet oxygen demands.
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:
Question 5 of 5
A nurse is Inserting an indwelling urinary catheter to a male client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Lift the penis so that it is perpendicular to the client's body
Rationale: Lifting the penis perpendicular to the client's body helps to straighten the urethra, making it easier to insert the catheter. This position minimizes the risk of causing trauma or discomfort to the client during the insertion process. It also allows for better visualization and manipulation of the urinary meatus, ensuring proper placement of the catheter.
Summary of Other
Choices:
A: Cleansing the tip of the penis in a side to side motion is incorrect as it does not directly relate to the insertion technique of the catheter.
B: Picking up the catheter 13 cm (5 in) from its tip is incorrect as it does not address the proper positioning of the penis during insertion.
C: Performing the cleansing procedure with a fresh swab two times is incorrect as it focuses on the cleansing process rather than the insertion technique.