ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?
Correct Answer: B
Rationale: The correct answer is B: Weight Loss. Furosemide is a loop diuretic that helps the body excrete excess fluid and sodium through increased urine output.
Therefore, weight loss would indicate that the medication has been effective in reducing the client's fluid volume excess. Increased blood pressure (
A) would not be an expected finding as furosemide typically helps lower blood pressure. Decreased inflammation (
C) and decreased pain (
D) are not directly related to the action of furosemide as a diuretic.
Extract:
A nurse reviews the entries in the medical record.
Question 2 of 5
For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Potential Prescription | Anticipated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 91/60 mm. Hg | ||
| Obtain the first unit of packed RBCS from the blood bank. | ||
| Start an IV bolus of lactated Ringers solution. |
Correct Answer: A,B,D
Rationale: [A: 1, B: 1, C: 0, D: 1, E: 0, F: , G: ]
- A: Documenting blood product transfusion is crucial for legal and tracking purposes.
- B: Staying with the client ensures immediate response to any adverse reactions.
- C: Titration of infusion rate for BP is not within nursing scope without physician order.
- D: Obtaining packed RBCs precedes transfusion to verify compatibility.
- E: Starting IV bolus of LR is not indicated as it is unrelated to the transfusion process.
Extract:
A nurse is preparing to obtain a health history from a client who is on bedrest.
Question 3 of 5
Which of the following positions should the nurse take to place the client at ease?
Correct Answer: A
Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and rapport. Sitting also conveys a sense of attentiveness and availability for conversation. Standing at the side of the bed (
B) may create a sense of distance. Sitting on the bed next to the client (
C) may invade personal space. Standing at the foot of the bed (
D) can be perceived as intimidating.
Extract:
A nurse is providing nutrition teaching for a client who has hypertension.
Question 4 of 5
Which of the following foods should the nurse suggest the client include in their diet?
Correct Answer: D
Rationale: Fish is low in saturated fats and beneficial for cardiovascular health.
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.