ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,D,E,A,B
Rationale:
To perform nasotracheal suctioning correctly, the nurse should follow these steps:
1. Dan sterile gloves (
C): Ensures aseptic technique to prevent infection.
2. Insert the catheter during the client's inspiration (
D): Reduces the risk of hypoxia and trauma.
3. Turn on the suction and set the pressure (E): Prepares the equipment for suctioning.
4. Apply suction while rotating the catheter (
A): Maximizes removal of secretions.
5. Rinse the catheter to remove secretions (
B): Ensures cleanliness of the catheter for next use.
Other choices are incorrect:
- F and G are not applicable in this sequence as they do not contribute to the safe and effective performance of nasotracheal suctioning.
Extract:
A nurse is caring for a client who is postoperative following a right hip arthroplasty.
Question 2 of 5
For each assessment finding, click to specify if the finding is consistent with malignant hyperthermia, latex allergy, or hypovolemic shock.
| Assessment Finding | Malignant hyperthermia | Hypovolemic shock |
|---|---|---|
| Hypercapnia | ||
| Muscle rigidity | ||
| Tachycardia | ||
| Urticaria | ||
| Wheezes |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
Question 3 of 5
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take
Correct Answer: A
Rationale:
Correct Answer: A: Ensure the state health department has been notified.
Rationale:
1. Lyme disease is a reportable infectious disease, so notifying the state health department is crucial for tracking and controlling its spread.
2. Reporting to the health department allows for proper surveillance and monitoring of the disease in the community.
3. By notifying the health department, appropriate public health interventions can be implemented to prevent further cases.
Summary of Incorrect
Choices:
B: Administer antitoxin - Lyme disease is caused by a bacterium, not a toxin, so antitoxin administration is not appropriate.
C: Educate the family to avoid sharing personal belongings - While important for hygiene, it does not directly address the management of Lyme disease.
D: Assess for skin necrosis - Skin necrosis is not a common manifestation of Lyme disease, so this action is not a priority in caring for a child with Lyme disease.
Extract:
A charge nurse is observing a conflict between two nurses who both insist that the charge nurse favors the other when making assignments.
Question 4 of 5
Which of the following conflict-resolution strategies should the charge nurse use?
Correct Answer: A
Rationale: The correct answer is A: Encourage collaboration between the two nurses when making the assignments. This strategy fosters open communication and teamwork, leading to a mutually agreed-upon solution. It promotes a sense of ownership and shared responsibility, enhancing job satisfaction and reducing conflict.
Choice B may not address the underlying issues causing conflict.
Choice C is vague and lacks a specific action plan.
Choice D avoids the conflict rather than resolving it.
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.