ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Question 1 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: FHR baseline 170/min. A baseline fetal heart rate (FHR) of 170/min is considered tachycardia and may indicate fetal distress. The nurse should report this finding to the provider for further evaluation and intervention. Early decelerations in fetal heart rate (choice
B) are generally considered normal and do not require immediate reporting. A slightly elevated temperature (choice
A) may not be concerning during labor. Contractions lasting 80 seconds (choice
D) can be normal in active labor.
Question 2 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. In acute glomerulonephritis, there is inflammation of the glomeruli in the kidneys leading to blood in the urine. This is known as hematuria. Polyuria (choice
A) is not typically seen in this condition as the kidneys are not able to effectively filter urine. Hypotension (choice
B) is unlikely as fluid retention and hypertension are more common due to decreased kidney function. Weight loss (choice
C) is not a common finding as the condition often leads to fluid retention.
Therefore, hematuria is the most expected finding in acute glomerulonephritis.
Extract:
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Question 3 of 5
Which of the following examples should the nurse include in the teaching as an example of malpractice?
Correct Answer: C
Rationale: The correct answer is C because leaving a nasogastric tube clamped after administering oral medication is an example of malpractice. This action can lead to obstruction and potential harm to the client. Documenting communication (
A) is a standard practice to ensure accurate record-keeping. Placing a yellow bracelet (
B) is a safety measure. Administering potassium via IV bolus (
D) is within the scope of practice if done correctly.
Extract:
Question 4 of 5
A nurse is assessing a client who is taking haloperidol and is experiencing pseudo parkinsonism. Which of the following findings should the nurse document as a manifestation of pseudo parkinsonism?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudo parkinsonism is a common side effect of antipsychotic medications like haloperidol. A shuffling gait is a characteristic manifestation, which includes slow, shuffling, and stiff movements resembling those seen in Parkinson's disease. This occurs due to the blockade of dopamine receptors in the brain.
Choice A, serpentine limb movement, is not a typical manifestation of pseudo parkinsonism.
Choice C, nonreactive pupils, is more indicative of a possible neurological issue.
Choice D, smacking lips, is a manifestation of tardive dyskinesia, not pseudo parkinsonism.
Extract:
A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Medicaid can provide financial assistance for prenatal care and delivery.