ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for blood glucose management.
Question 1 of 5
Which type of insulin should the nurse anticipate administering?
Correct Answer: A
Rationale: The correct answer is A: Glargine insulin. Glargine is a long-acting insulin with a flat and consistent action profile, providing basal insulin coverage. This type of insulin is typically administered once daily at the same time each day to maintain a consistent level of insulin in the body. Regular insulin (
B) is short-acting and is typically taken before meals to cover blood sugar increases from eating. NPH insulin (
C) is intermediate-acting and requires twice daily dosing. Insulin aspart (
D) is a rapid-acting insulin used to control postprandial glucose levels. In this scenario, glargine insulin is the most appropriate choice for basal insulin coverage.
Extract:
A nurse is assessing a client who has bipolar disorder and is experiencing a depressive episode.
Question 2 of 5
Which finding should the nurse expect?
Correct Answer: B
Rationale: Feelings of hopelessness or worthlessness are common in depressive episodes.
Extract:
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine
Question 3 of 5
Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. The liver plays a crucial role in metabolism, detoxification, and protein synthesis. Monitoring liver function tests, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), can help assess liver health and detect liver diseases like hepatitis. This is important in patients with liver dysfunction or those taking medications that can affect liver function.
The other choices are not as relevant in this context.
B: Kidney function tests mainly focus on assessing renal function, not liver function.
C: Hemoglobin and hematocrit are markers of blood health, not specific to liver function.
D: Serum sodium and potassium levels are related to electrolyte balance, not liver function.
Extract:
The nurse is continuing to care for the child
Provider Prescriptions
1030:
Obtain x-rays of right arm, wrist, and elbow.
1145:
Ibuprofen 200 mg PO PRN pain rating of 5 on a scale of 0 to 10
Consult orthopedic department for cast application.
1400:
Discharge to home.
Follow-up in office in 2 weeks.
Review synthetic cast care instructions with child and family.
Question 4 of 5
After reviewing the discharge instructions with the family, which of the following statements by a parent indicate an understanding of the teaching? Click to specify if the statement reflects an understanding or indicates a need for reinforcement.
| Parent Statement | Reflects Understanding | Needs Reinforcement |
|---|---|---|
| We should notify the provider if the cast becomes loose over time. | ||
| It is important that our child avoids placing anything inside the cast. | ||
| We should prop the casted arm on pillows for the next 24 hours. | ||
| We should expect the swelling and tingling to worsen before it gets better. | ||
| We need to be very careful about how we handle the cast for the first 2 days while it dries. |
Correct Answer: A,B,C,E
Rationale: Statements A, B, C, and E reflect correct understanding. Expecting worsening symptoms (
D) requires clarification as it may indicate complications.
Extract:
A nurse is reviewing the medical records of four clients.
Question 5 of 5
The nurse should identify that which of the following client findings requires follow-up care?
Correct Answer: C
Rationale: The correct answer is C. A client taking warfarin with an INR of 1.8 indicates a low INR, which means the blood is not anticoagulated enough, putting the client at risk for clot formation. This finding requires follow-up care to adjust the warfarin dose.
Choice A is incorrect because an induration after a Mantoux test is an expected finding.
Choice B is incorrect as taking sodium phosphate before a colonoscopy is a common preparation.
Choice D is incorrect as a potassium level of 3.6 mEq/L is within the normal range.