ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking haloperidol and is experiencing pseudo parkinsonism. Which of the following findings should the nurse document as a manifestation of pseudo parkinsonism?
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudo parkinsonism is a common side effect of antipsychotic medications like haloperidol. A shuffling gait is a characteristic manifestation, which includes slow, shuffling, and stiff movements resembling those seen in Parkinson's disease. This occurs due to the blockade of dopamine receptors in the brain.
Choice A, serpentine limb movement, is not a typical manifestation of pseudo parkinsonism.
Choice C, nonreactive pupils, is more indicative of a possible neurological issue.
Choice D, smacking lips, is a manifestation of tardive dyskinesia, not pseudo parkinsonism.
Extract:
A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion.
Question 2 of 5
For which of the following therapeutic effects should the nurse monitor the client?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes 2+. Monitoring deep tendon reflexes is essential in assessing neurological function and detecting abnormalities such as hyperreflexia or hyporeflexia. A normal response of 2+ indicates intact neurological pathways. Abnormal reflexes could be indicative of various neurological conditions. Pulse rate, urine output, and proteinuria are important parameters to monitor but are not specifically related to therapeutic effects. Monitoring deep tendon reflexes is crucial for detecting early signs of neurological complications and guiding appropriate interventions.
Extract:
A nurse is admitting a client to a medical-surgical unit.
Question 3 of 5
When performing medication reconciliation for the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Comparing prescriptions prevents duplication and interactions.
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.
Question 5 of 5
The nurse anticipates the client will likely require-------as evidenced by the client’s---------
Correct Answer: B,D
Rationale: The correct answers are B (stool test results) and D (an endoscopy). The nurse anticipates the client will likely require a stool test based on gastrointestinal symptoms, such as abdominal pain or blood in stool. Stool test results can help diagnose gastrointestinal issues. Additionally, the nurse may anticipate the need for an endoscopy to further investigate gastrointestinal symptoms, like persistent reflux or difficulty swallowing.
Choices A, C, E, and F are less likely as they are not directly related to gastrointestinal issues.
Choice E (antifungal prescription) may be relevant in case of fungal infection, but gastrointestinal symptoms would not typically prompt this.
Choice F (oxygen via nonrebreather mask) is more related to respiratory issues.