ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Initiate seizure precautions. Hyperthermia can lead to seizures due to the brain's sensitivity to high temperatures. Seizure precautions involve ensuring a safe environment, padding the bed, and having emergency equipment ready. Administering oral acetaminophen (
A) is not the priority in hyperthermia as it may not rapidly reduce the temperature. Covering with a thermal blanket (
B) may further increase body temperature. Submerging feet in ice water (
C) can cause vasoconstriction and shivering, leading to increased core temperature.
Question 2 of 5
A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I can resume activities such as sewing." This indicates an understanding of the teaching because it shows the client recognizes the need to avoid strenuous activities that may increase intraocular pressure, thus risking damage to the repaired retina. Sewing is a low-impact activity that does not involve heavy lifting or sudden movements, making it safe for the client postoperatively.
Choice A is incorrect because jogging is a high-impact activity that should be avoided for several weeks post-surgery.
Choice B is incorrect because bending at the waist can increase intraocular pressure, which is not recommended post-detached retina repair.
Choice C is incorrect as lifting objects, even if less than 10 pounds, can also increase intraocular pressure.
Question 3 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 preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Position the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate. This is the correct action because placing the ultrasound stethoscope above the symphysis pubis allows for optimal detection of the fetal heart rate. This location is where the fetal heart sounds are best heard due to the proximity to the fetal heart. Placing the stethoscope in this location ensures accurate assessment of the fetal heart rate.
Choice A is incorrect because placing the client in a side-lying position is not necessary for assessing the fetal heart rate with an ultrasound stethoscope.
Choice B is incorrect because measuring fundal height is not relevant to assessing the fetal heart rate.
Choice D is incorrect because Leopold maneuvers are used to determine fetal position and presentation, not to assess the fetal heart rate.
Extract:
A nurse in an emergency department is caring for a client.
Question 5 of 5
Select the 3 statements the nurse should include in the teaching.
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A is important as vomiting and diarrhea can lead to dehydration. B is crucial for liver health and overall well-being. C is essential for heart health and maintaining a healthy weight. The other choices are incorrect. D can worsen symptoms and interfere with medication. E may not be suitable for certain health conditions and can lead to weight gain. No information is provided for options F and G.