ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture?
Correct Answer: D
Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps to maintain proper alignment of the foot, preventing contractures that can occur due to prolonged immobility. Placing a pillow under the client's knees (choice
A) is beneficial for reducing pressure on the lower back but does not specifically address foot contractures. Similarly, placing a towel roll under the client's neck (choice
B) is helpful for neck support but does not prevent foot contractures. Aligning a trochanter wedge between the client's legs (choice
C) is aimed at hip alignment and not foot contractures.
Therefore, the most appropriate intervention to prevent foot contractures in an immobile client is applying an orthotic to the client's foot.
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 caring for a client who is at 33 weeks of gestation following an amniocentesis.
Question 3 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 assisting with food selection for a client who follows kosher dietary traditions.
Question 4 of 5
Which of the following food choices should the nurse include on the client's food tray?
Correct Answer: B
Rationale: Kosher diets exclude pork and shellfish.
Extract:
A nurse is preparing to administer a medication that is available in a glass ampule.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: The nurse should use a filter needle to withdraw the medication. This is the correct action as filter needles help prevent the introduction of particulate matter or impurities into the medication, ensuring patient safety. Using a filter needle also reduces the risk of needlestick injuries and contamination.
Choice B is incorrect as breaking the neck of the ampule towards the body increases the risk of injury due to glass shards flying towards the nurse.
Choice C is incorrect as it violates safe medication administration practices by risking contamination.
Choice D is incorrect as ampules should be disposed of in a sharps container, not the trash can.