ATI RN Comprehensive 2023 with NGN QUESTIONS
WITH CORRECT ANSWERS.
3: T 36.4°, P72, R18, BP 106/62, O2 95% on 2L NC
4: T36.6, P76, R 18, BP 112/72, O2 98% on 2L NC
1715:Client reports burning pain in chest as7 pooling in drainage tubing
11Client ambulated to bathroom with assistance of one person. Dressing at chest tube insertion site dry.
Client stated they lifted the edges of dressing to scratch underneath the tape. 3Client transferred from
post-anesthesia care unit,postoperative left lung lobectomy.Client alert and orientedx4.Reports pain
as3.Dressing dry and intact to left chest.
Water seal chest tube drainage system has 100mL sanguineous drainage.
Right lung sounds clear.
Left lung sounds diminished
indicated or contraindicated
Clamp chest tube when client ambulates.
Report burning pain in chest to provider.
Reinforce dressing around the tube as needed if it loosens.
Maintain water level at 2cm.Strip the tubing twice daily to ensure patency - CORRECT ANSWER✅✅For
the client with a chest tube following a left lung lobectomy, let's evaluate each of the listed nursing
actions based on the client's current status and the best practice guidelines for managing chest tubes.
*Indicated: The client is reporting burning pain in the chest, rated as 7/10 on the pain scale. This could
be indicative of an infection, complication at the chest tube insertion site, or atelectasis. It's important
to report this to the provider to rule out any complications and ensure appropriate interventions are in
place.
*Indicated: It's important to maintain a tight, dry dressing at the chest tube insertion site to prevent
infection and ensure proper drainage. If the dressing loosens, reinforcing it to keep it intact is an
appropriate action to prevent contamination or accidental dislodgment of the tube.
*Maintain water level at 2 cm
Indicated: For a water seal chest tube system, maintaining a water level of 2 cm is important to ensure
the proper functioning of the system. This helps prevent air from entering the pleural cavity and
promotes the removal of air and fluids from the chest cavity.
,*Strip the tubing twice daily to ensure patency
Contraindicated: Stripping the tubing can generate excessive negative pressure, potentially causing
damage to the lung or leading to increased pressure within the pleural cavity. Instead, the nurse should
assess the tubing regularly for kinks, clogs, or obstructions and milking the tube gently, if necessary, to
maintain patency.
Clamp chest tube when client ambulates
*Contraindicated: Clamping is generally not recommended, especially during ambulation. Clamping can
lead to a build-up of pressure in the pleural cavity, which can cause a tension pneumothorax. The chest
tube should remain open to allow for drainage and prevent complications like air or fluid accumulation.
A charge nurse is concerned about a recent increase in facility-acquired catheter Infections. Which of
the following actions should the nurse take first?
A. Revise the current policy for catheter care.
B. Identify possible precipitating factors related to the infections.
C. Schedule nursing staff training for infection control procedures.
D. Meet with providers to discuss measures to decrease the infections. - CORRECT ANSWER✅✅The
correct answer is:
B. Identify possible precipitating factors related to the infections.
Explanation: Before taking any actions, the first step in addressing an increase in facility-acquired
catheter infections is to identify possible precipitating factors. This allows the charge nurse to
understand the underlying causes of the infections, whether it's related to specific patient populations,
practices, or equipment usage. Once the root causes are identified, the nurse can take targeted and
appropriate actions to prevent further infections.
Here's why the other options are less appropriate as first steps:
A. Revise the current policy for catheter care: Revising policies might be necessary later, but first, it's
essential to gather information and identify any underlying issues or patterns that are contributing to
the infections before modifying the policy.
C. Schedule nursing staff training for infection control procedures: While training may eventually be
needed, it should come after identifying the factors contributing to the infections. Training alone may
not resolve the underlying issue if there are systemic problems.
D. Meet with providers to discuss measures to decrease the infections: While discussing with providers
is important, identifying the factors that lead to the infections should come first. Understanding the
issue in detail allows for more informed discussions and solutions.
,A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The
newly licensed nurse tells the client that she will insert a urinary catheter if the client will not vold.
Which of the following torts should the charge nurse Identify as having occurred?
A. Negligence
B. Battery
C. Assault
D. Libel - CORRECT ANSWER✅✅The correct answer is C. Assault.
Rationale:
Assault is the threat or attempt to cause harmful or offensive contact with another person, without
consent. In this case, the newly licensed nurse's statement, "she will insert a urinary catheter if the
client will not void," implies a threat of unwanted physical contact (inserting the catheter). The nurse is
implying that the procedure will happen regardless of the client's consent, which constitutes assault, as
the client has not yet consented to the action.
Here's why the other options are incorrect:
A. Negligence: Negligence occurs when a healthcare provider fails to meet the standard of care,
resulting in harm to the client. This scenario involves a threat, not a failure in care, so negligence is not
the correct answer.
B. Battery: Battery involves the actual physical act of harmful or offensive contact with another person
without consent. While the threat of inserting the catheter could lead to battery, in this case, the nurse
has not yet performed the act. The key issue here is the threat, which makes it assault, not battery.
D. Libel: Libel refers to written false statements that harm someone's reputation. This situation does not
involve any written communication, so libel is not applicable.
Therefore, assault is the correct answer because the nurse's statement represents a threat of non-
consensual physical contact with the client.
A charge nurse is teaching a newly licensed nurse about the facility's computerized documentation
system. Which of the following information should the nurse include?
A. "Documentation of sensitive material is performed by the charge nurse."
B. "Information Technology will install a firewall to secure client information."
C. "You will be asked to change your password once per year."
D. "You will be given access to the medical records of every client in the facility." - CORRECT
ANSWER✅✅The correct answer is B. "Information Technology will install a firewall to secure client
information."
Explanation:
, B. Information Technology will install a firewall to secure client information. A firewall is a critical
security measure used to protect the system from unauthorized access, ensuring that client data
remains confidential and is not compromised. This is essential for safeguarding patient information in a
computerized documentation system, and this action should be taken to protect sensitive information
from cyber threats.
Why the other options are not correct:
A. "Documentation of sensitive material is performed by the charge nurse." While charge nurses may
oversee documentation practices, all healthcare professionals are responsible for documenting patient
information accurately. Sensitive material should be handled by the individual providing care and
documented appropriately according to facility policies.
C. "You will be asked to change your password once per year." To maintain security, passwords should
be changed more frequently (typically every 90 days or so) to prevent unauthorized access. The
recommendation for yearly password changes is not sufficient for optimal security.
D. "You will be given access to the medical records of every client in the facility." Access to client medical
records is restricted based on the healthcare professional's role and responsibility. It is not appropriate
to give unrestricted access to all records for all staff members, as access should be granted on a need-to-
know basis according to job functions.
Therefore, B is the most accurate and essential point for securing client information.
A charge nurse is teaching new staff members about factors that increase a client's risk to become
violent. Which of the following risk factors should the nurse include as the best predictor of future
violence?
A. A history of being in prison
B. Male gender
C. Previous violent behavior
D. Experiencing delusions - CORRECT ANSWER✅✅The correct answer is:
C. Previous violent behavior
Rationale:
The best predictor of future violence is previous violent behavior. A history of violent actions is one of
the most reliable indicators of the likelihood that a person may engage in violence again. This can
include prior incidents of physical aggression, threats, or other violent acts. The more frequent and
severe the prior violent behavior, the higher the risk of future violence.
Explanation of Other Options:
WITH CORRECT ANSWERS.
3: T 36.4°, P72, R18, BP 106/62, O2 95% on 2L NC
4: T36.6, P76, R 18, BP 112/72, O2 98% on 2L NC
1715:Client reports burning pain in chest as7 pooling in drainage tubing
11Client ambulated to bathroom with assistance of one person. Dressing at chest tube insertion site dry.
Client stated they lifted the edges of dressing to scratch underneath the tape. 3Client transferred from
post-anesthesia care unit,postoperative left lung lobectomy.Client alert and orientedx4.Reports pain
as3.Dressing dry and intact to left chest.
Water seal chest tube drainage system has 100mL sanguineous drainage.
Right lung sounds clear.
Left lung sounds diminished
indicated or contraindicated
Clamp chest tube when client ambulates.
Report burning pain in chest to provider.
Reinforce dressing around the tube as needed if it loosens.
Maintain water level at 2cm.Strip the tubing twice daily to ensure patency - CORRECT ANSWER✅✅For
the client with a chest tube following a left lung lobectomy, let's evaluate each of the listed nursing
actions based on the client's current status and the best practice guidelines for managing chest tubes.
*Indicated: The client is reporting burning pain in the chest, rated as 7/10 on the pain scale. This could
be indicative of an infection, complication at the chest tube insertion site, or atelectasis. It's important
to report this to the provider to rule out any complications and ensure appropriate interventions are in
place.
*Indicated: It's important to maintain a tight, dry dressing at the chest tube insertion site to prevent
infection and ensure proper drainage. If the dressing loosens, reinforcing it to keep it intact is an
appropriate action to prevent contamination or accidental dislodgment of the tube.
*Maintain water level at 2 cm
Indicated: For a water seal chest tube system, maintaining a water level of 2 cm is important to ensure
the proper functioning of the system. This helps prevent air from entering the pleural cavity and
promotes the removal of air and fluids from the chest cavity.
,*Strip the tubing twice daily to ensure patency
Contraindicated: Stripping the tubing can generate excessive negative pressure, potentially causing
damage to the lung or leading to increased pressure within the pleural cavity. Instead, the nurse should
assess the tubing regularly for kinks, clogs, or obstructions and milking the tube gently, if necessary, to
maintain patency.
Clamp chest tube when client ambulates
*Contraindicated: Clamping is generally not recommended, especially during ambulation. Clamping can
lead to a build-up of pressure in the pleural cavity, which can cause a tension pneumothorax. The chest
tube should remain open to allow for drainage and prevent complications like air or fluid accumulation.
A charge nurse is concerned about a recent increase in facility-acquired catheter Infections. Which of
the following actions should the nurse take first?
A. Revise the current policy for catheter care.
B. Identify possible precipitating factors related to the infections.
C. Schedule nursing staff training for infection control procedures.
D. Meet with providers to discuss measures to decrease the infections. - CORRECT ANSWER✅✅The
correct answer is:
B. Identify possible precipitating factors related to the infections.
Explanation: Before taking any actions, the first step in addressing an increase in facility-acquired
catheter infections is to identify possible precipitating factors. This allows the charge nurse to
understand the underlying causes of the infections, whether it's related to specific patient populations,
practices, or equipment usage. Once the root causes are identified, the nurse can take targeted and
appropriate actions to prevent further infections.
Here's why the other options are less appropriate as first steps:
A. Revise the current policy for catheter care: Revising policies might be necessary later, but first, it's
essential to gather information and identify any underlying issues or patterns that are contributing to
the infections before modifying the policy.
C. Schedule nursing staff training for infection control procedures: While training may eventually be
needed, it should come after identifying the factors contributing to the infections. Training alone may
not resolve the underlying issue if there are systemic problems.
D. Meet with providers to discuss measures to decrease the infections: While discussing with providers
is important, identifying the factors that lead to the infections should come first. Understanding the
issue in detail allows for more informed discussions and solutions.
,A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The
newly licensed nurse tells the client that she will insert a urinary catheter if the client will not vold.
Which of the following torts should the charge nurse Identify as having occurred?
A. Negligence
B. Battery
C. Assault
D. Libel - CORRECT ANSWER✅✅The correct answer is C. Assault.
Rationale:
Assault is the threat or attempt to cause harmful or offensive contact with another person, without
consent. In this case, the newly licensed nurse's statement, "she will insert a urinary catheter if the
client will not void," implies a threat of unwanted physical contact (inserting the catheter). The nurse is
implying that the procedure will happen regardless of the client's consent, which constitutes assault, as
the client has not yet consented to the action.
Here's why the other options are incorrect:
A. Negligence: Negligence occurs when a healthcare provider fails to meet the standard of care,
resulting in harm to the client. This scenario involves a threat, not a failure in care, so negligence is not
the correct answer.
B. Battery: Battery involves the actual physical act of harmful or offensive contact with another person
without consent. While the threat of inserting the catheter could lead to battery, in this case, the nurse
has not yet performed the act. The key issue here is the threat, which makes it assault, not battery.
D. Libel: Libel refers to written false statements that harm someone's reputation. This situation does not
involve any written communication, so libel is not applicable.
Therefore, assault is the correct answer because the nurse's statement represents a threat of non-
consensual physical contact with the client.
A charge nurse is teaching a newly licensed nurse about the facility's computerized documentation
system. Which of the following information should the nurse include?
A. "Documentation of sensitive material is performed by the charge nurse."
B. "Information Technology will install a firewall to secure client information."
C. "You will be asked to change your password once per year."
D. "You will be given access to the medical records of every client in the facility." - CORRECT
ANSWER✅✅The correct answer is B. "Information Technology will install a firewall to secure client
information."
Explanation:
, B. Information Technology will install a firewall to secure client information. A firewall is a critical
security measure used to protect the system from unauthorized access, ensuring that client data
remains confidential and is not compromised. This is essential for safeguarding patient information in a
computerized documentation system, and this action should be taken to protect sensitive information
from cyber threats.
Why the other options are not correct:
A. "Documentation of sensitive material is performed by the charge nurse." While charge nurses may
oversee documentation practices, all healthcare professionals are responsible for documenting patient
information accurately. Sensitive material should be handled by the individual providing care and
documented appropriately according to facility policies.
C. "You will be asked to change your password once per year." To maintain security, passwords should
be changed more frequently (typically every 90 days or so) to prevent unauthorized access. The
recommendation for yearly password changes is not sufficient for optimal security.
D. "You will be given access to the medical records of every client in the facility." Access to client medical
records is restricted based on the healthcare professional's role and responsibility. It is not appropriate
to give unrestricted access to all records for all staff members, as access should be granted on a need-to-
know basis according to job functions.
Therefore, B is the most accurate and essential point for securing client information.
A charge nurse is teaching new staff members about factors that increase a client's risk to become
violent. Which of the following risk factors should the nurse include as the best predictor of future
violence?
A. A history of being in prison
B. Male gender
C. Previous violent behavior
D. Experiencing delusions - CORRECT ANSWER✅✅The correct answer is:
C. Previous violent behavior
Rationale:
The best predictor of future violence is previous violent behavior. A history of violent actions is one of
the most reliable indicators of the likelihood that a person may engage in violence again. This can
include prior incidents of physical aggression, threats, or other violent acts. The more frequent and
severe the prior violent behavior, the higher the risk of future violence.
Explanation of Other Options:
