ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: FHR baseline 170/min. A baseline fetal heart rate (FHR) of 170/min is considered tachycardia and may indicate fetal distress. The nurse should report this finding to the provider for further evaluation and intervention. Early decelerations in fetal heart rate (choice
B) are generally considered normal and do not require immediate reporting. A slightly elevated temperature (choice
A) may not be concerning during labor. Contractions lasting 80 seconds (choice
D) can be normal in active labor.
Extract:
A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Elevation reduces swelling postoperatively.
Extract:
A nurse is caring for a client who has experienced a stroke and is moving in with their adult child.
Question 3 of 5
Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?
Correct Answer: A
Rationale: Boundaries foster healthy family dynamics during role adjustments.
Extract:
Question 4 of 5
A parish nurse is leading a support group for clients whose family members have committed suicide. Which of the following strategies should the nurse plan to use during the group session?
Correct Answer: B
Rationale: The correct answer is B: Initiate a discussion with clients about ways to cope with changes in family dynamics. This is the most appropriate strategy as it addresses the immediate impact of the suicide on family dynamics and helps clients develop coping mechanisms. Discussing coping strategies can empower clients to navigate the difficult changes they are facing.
A: Encouraging clients to establish a timeline for their own grieving process may not be helpful as each individual grieves differently and timelines can vary significantly.
C: Assisting clients in identifying ways suicide could have been prevented may lead to feelings of guilt and self-blame, which can be harmful to the healing process.
D: Discouraging clients from sharing negative aspects of their relationship with the deceased person can hinder the expression of emotions and the processing of complex feelings related to the loss.
Extract:
A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The palpatory method can help obtain a more accurate reading when sounds are difficult to auscultate.