ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Explain to the child what will happen when the abuse is reported.
Rationale: It is crucial for the nurse to inform the child about the reporting process to ensure transparency and build trust. This empowers the child and helps them understand the next steps. It also promotes their involvement in decision-making regarding their well-being. By explaining the process, the nurse can offer emotional support and reassurance to the child. This approach respects the child's autonomy and dignity.
Incorrect
Choices:
A: Using leading statements can influence the child's responses and compromise the accuracy of information obtained.
B: Having multiple nurses present may intimidate the child and breach confidentiality.
D: Reassuring the child that no one will be told about the abuse may perpetuate feelings of isolation and hinder the necessary intervention.
Extract:
A nurse is caring for a client who has an indwelling urinary catheter.
Question 2 of 5
The nurse notes that sediment is present in the urine.
Correct Answer: B
Rationale: Retention ports allow sterile specimen collection.
Extract:
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 4 of 5
Which of the following should the nurse identify as an expected finding?
Correct Answer: A
Rationale: Coarctation of the aorta often results in weak or absent femoral pulses due to reduced blood flow to the lower extremities.
Extract:
A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Negative pressure rooms prevent airborne spread of varicella.