ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has schizophrenia. The client state nurse to state?"I'm hearing voices. Which of the following responses is the priority for the nurse to state"
Correct Answer: A
Rationale: The correct answer is A: "What are the voices telling you?" This response shows active listening and encourages the client to express their thoughts, helping the nurse assess the content and potential danger of the voices.
Choice B dismisses the client's experience, choice C focuses on medication compliance rather than immediate safety, and choice D is relevant but does not address the immediate concern.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
Question 2 of 5
The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Contractions can indicate preterm labor, a potential complication after amniocentesis.
Extract:
A nurse is caring for a newborn. Vital Signs 0640: Temperature 36.7° C(98.1° F) axillary Heart rate 154/min Respiratory rate 68/min BP 72/48 mm Hg 0650: Heart rate 156/min Respiratory rate 72/min 0700: Temperature 37° C(98.6° F) axillary Heart rate 156/min Respiratory rate 76/min Admission Assessment 0630: Newborn delivered via cesarean birth under spinal anesthesia at 0630. Amniotic fluid clear 0631: 1-min Apgar score 7 0536 5-min Apgar score 9 Newborn transferred to nursery Nurses' Notes 0640: Weight 4200 gm(9 ib 4 oz, head circumference 35.5 cm(14 in) Respiratory rate 68/min, with mild grunting 0650: Respiratory rate 72/min, with mild grunting 0700: Respiratory rate 76/min, with moderate grunting and mild intercostal retractions
Question 3 of 5
The client is at risk for developing ------- and--------
Correct Answer: A, C
Rationale: The correct answer is A and C. Hypoglycemia and transient tachypnea of the newborn are common risks for newborns. Hypoglycemia can occur due to immature liver function, while transient tachypnea results from retained lung fluid. The other choices are incorrect because bronchopulmonary dysplasia is a chronic lung condition seen in premature infants, and tachycardia is a symptom of various conditions but not typically a primary risk for newborns.
Extract:
Question 4 of 5
A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Speak directly to the client. This is important because even when using an interpreter, the nurse should maintain eye contact and address the client directly to establish trust and ensure the message is accurately conveyed. Speaking slowly (choice
A) may be helpful, but it is not as crucial as direct communication. Pausing in the middle of sentences (choice
B) could lead to confusion. Using gestures (choice
D) may not always accurately convey the intended message.
Therefore, speaking directly to the client is the most effective way to ensure clear communication and understanding.
Extract:
A nurse is caring for a client who has a placenta previa.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Spotting. Spotting is a common finding in early pregnancy due to implantation bleeding or hormonal changes. It is often a normal occurrence, especially in the first trimester. Nausea (choice
B) is another common finding in early pregnancy, known as morning sickness. Polyhydramnios (choice
C) is an excessive accumulation of amniotic fluid and is not typically an expected finding. Uterine tenderness (choice
D) can be a sign of infection or other issues, not a typical finding in early pregnancy.