ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P.R interval of 0.35 seconds.
Question 1 of 5
Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. This dysrhythmia is characterized by a delay in conduction at the atrioventricular node, causing a prolonged PR interval (>0.20 sec) on ECG. It is a benign condition and does not typically require treatment unless symptomatic.
Choices B and D are more serious dysrhythmias that have different ECG patterns and clinical implications. Complete heart block (
Choice
B) presents with a lack of conduction between the atria and ventricles, leading to a slow ventricular rate. Atrial fibrillation (
Choice
D) is characterized by rapid, irregular atrial depolarizations without effective atrial contractions. Premature atrial complexes (
Choice
C) are early ectopic atrial beats that appear as abnormal P waves on ECG but do not cause significant conduction delays.
Extract:
Question 2 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care?(Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time is essential for someone with dementia to reduce confusion and facilitate understanding.
D: Reinforcing orientation to time, place, and person helps maintain the client's sense of reality and reduce disorientation.
E: Establishing eye contact when communicating with the client enhances connection and understanding, aiding in effective communication.
Incorrect
Choices:
B: Refuting the client's delusions using logic may lead to frustration and agitation, as individuals with dementia may not be able to understand or accept logical arguments.
C: Allowing the client to choose among a variety of activities each day may overwhelm them with choices, leading to increased confusion and agitation.
Extract:
A nurse is assessing a client who has an abdominal incision.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Partial wound separation indicates potential complications needing attention.
Extract:
A nurse is providing teaching to the parents of a newborn about newborn genetic screening.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Newborn genetic screening is most accurate when performed after the baby is 24 hours old.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Choose a vein that is palpable and straight. This is the best action because a palpable and straight vein is easier to access and less likely to cause complications during venipuncture. Selecting a visible vein reduces the risk of accidental puncture of surrounding structures. Elevating the arm (choice
B) can help make the vein more prominent, but it is not the primary action. Applying a tourniquet (choice
C) is important to help visualize the vein but does not ensure the vein is suitable. Selecting the dominant arm (choice
D) is not necessary and may limit the client's mobility.