ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A community health nurse is working with a group of clients.
Question 1 of 5
Which task should the nurse perform to practice distributive justice?
Correct Answer: E
Rationale: The correct answer is E because developing programs addressing social determinants of health promotes distributive justice by reducing health disparities. Social determinants, such as income and education, greatly impact health outcomes. By addressing these factors through programs, the nurse ensures that all individuals have equal opportunities for good health.
Choice A focuses on individual care, not systemic change.
Choice B deals with resource allocation, not addressing underlying disparities.
Choice C emphasizes individual medical necessity over systemic justice.
Choice D is important but does not directly address social determinants.
Extract:
A nurse enters a client's room and sees a small fire in the client's bathroom.
Question 2 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.
Extract:
The nurse is continuing to care for the client.
History and Physical
Day 1, 0900:
A 52-year-old client brought to emergency department by adult child. Client is alert and oriented
to person and time but does not know where they are. No history of substance use according to
client's adult child. Client exhibits constant movements and poor concentration. Hair and
clothing are unclean. Appears to be listening to unseen others. Skin turgor poor.
Question 3 of 5
The nurse is providing teaching about lithium to the client and client's adult child. Select the 3 statements the nurse should include.
Correct Answer: B,C,E
Rationale: Blurred vision is not typical; lithium takes time to reach therapeutic levels, causes nausea/drowsiness, and often leads to weight gain. A low-sodium diet is contraindicated due to risk of toxicity.
Extract:
A nurse manager is addressing reports of conflict within a nursing unit.
Question 4 of 5
The nurse should identify which of the following situations as an example of interpersonal conflict?
Correct Answer: D
Rationale: The correct answer is D because interpersonal conflict refers to disagreements between individuals. In this situation, two nurses are in conflict over a client's care plan, indicating a clash of opinions or perspectives. This involves direct interaction and differing views on patient care, highlighting interpersonal conflict.
A is incorrect because submitting a complaint is more of a professional conflict rather than interpersonal. B is incorrect as feeling stressed about an evaluation is an internal conflict, not involving others directly. C is incorrect as disagreements over a policy change involve multiple staff members and organizational dynamics, not just individuals.
Extract:
The nurse is continuing to care for the child
Diagnostic Results
1100:
X-ray of right arm: nondisplaced fracture of radius and ulna at the midpoint.
Assessment
1000:
Child is alert and appears developmentally appropriate for their age and well nourished.
Respirations easy and unlabored. Abdomen nondistended. Right forearm and fingers are
edematous. Ecchymotic area noted on outer aspect of the forearm. Radial pulse +2. Fingers
slightly cool to touch. Child can move fingers and reports a mild "tingling" sensation. Child
verbalizes a pain level of 4 on a scale of 0 to 10. Abrasion noted on right knee. No active
bleeding. Multiple areas of bruising noted on lower extremities in various stages of healing
1145:
Edema in right forearm and fingers is mildly increased. Child states that mild tingling in fingers
is unchanged. Able to move all fingers equally. Radial pulse is equal in both extremities, Right
hand fingers are slightly cooler than left hand fingers.
Question 5 of 5
Select the 3 priority actions that the nurse should take.
Correct Answer: B,C,F
Rationale: Administering pain relief, protecting the abrasion, and elevating the limb reduce swelling and promote comfort.