ATI RN
ATI Exit Exam Test Bank Questions
Question 1 of 5
A nurse is caring for a client who is receiving continuous cardiac monitoring. The client's heart rate is 69/min, and the PR interval is 0.24 seconds. What cardiac rhythm should the nurse interpret this finding as?
Correct Answer: A
Rationale: The correct answer is A: First-degree AV block. A PR interval of 0.24 seconds indicates a prolonged PR interval, which is characteristic of first-degree AV block. This rhythm is considered benign and often does not require treatment. Choice B, premature ventricular contraction, is characterized by early, abnormal ventricular contractions and would not be indicated by the findings provided. Choice C, sinus bradycardia, would present with a normal PR interval but a heart rate less than 60 beats per minute. Choice D, atrial fibrillation, is characterized by an irregularly irregular rhythm with no identifiable P waves, which does not align with the findings of a prolonged PR interval in this scenario.
Question 2 of 5
A nurse is providing teaching about gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse give?
Correct Answer: A
Rationale: The correct answer is to administer the feeding over 30 minutes. This slow administration helps prevent complications like nausea. Placing the child in a supine position after the feeding can increase the risk of aspiration, making choice B incorrect. Changing the feeding bag and tubing every 3 days is important for infection control and hygiene but is not directly related to the administration process, making choice C incorrect. Warming the formula in the microwave is not recommended as it can create hot spots that may burn the child's mouth or esophagus, so choice D is incorrect.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct measure to include when caring for a client on contact precautions is to wear gloves when providing care. Gloves help prevent the spread of infection and cross-contamination. Choice A is incorrect because the protective gown should be removed before leaving the client's room to prevent the spread of pathogens. Choice B is incorrect as clients on contact precautions should be in a room with negative pressure to prevent the spread of airborne contaminants. Choice D is incorrect as wearing a mask when changing linens is not specifically required for contact precautions.
Question 4 of 5
A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: In this situation, speaking assertively is the most appropriate action for the nurse to take. Confronting the client may escalate the situation further. Expressing sympathy, although important in other contexts, may not be effective in managing aggressive behavior. Standing within close proximity to an aggressive client can compromise the nurse's safety. Therefore, speaking assertively helps to set clear boundaries and manage the situation while ensuring safety in a seclusion room.
Question 5 of 5
A nurse is calculating a client's expected date of delivery. The client's last menstrual period began on April 12. Using Nagele's rule, what date should the nurse determine to be the client's expected delivery date?
Correct Answer: A
Rationale: Nagele's rule is a method used to calculate the expected delivery date by subtracting 3 months from the first day of the last menstrual period and adding 7 days. In this case, April 12 minus 3 months is January 12, plus 7 days gives January 19. Therefore, the correct answer is A. Choices B, C, and D do not align with the application of Nagele's rule and are incorrect.