ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Sunken fontanels and dry mucous membranes. These findings indicate severe dehydration in the infant, which is a critical condition that requires immediate intervention. Sunken fontanels suggest significant fluid loss, while dry mucous membranes are indicative of dehydration. Reporting these findings to the provider is crucial for prompt treatment to prevent further complications.
Incorrect Answer A: Pale and a 24 hr fluid deficit of 30 ml. Pale skin alone may not indicate severe dehydration, and a 24-hour fluid deficit of 30 ml is relatively small and not alarming.
Incorrect Answer C: Decreased appetite and irritability. These are common symptoms of gastroenteritis and may not necessarily indicate a need for immediate reporting to the provider.
Incorrect Answer D: Temperature 38° C and pulse rate 124/min. These vital signs are elevated but do not directly indicate severe dehydration requiring immediate reporting.
Question 2 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular events. Hypertension can be exacerbated by hormonal contraceptives, leading to serious complications like stroke or heart attack. It is crucial for women with hypertension to avoid estrogen-containing contraceptives.
B: Fibromyalgia, C: Renal calculi, D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. Fibromyalgia is a chronic pain disorder, renal calculi are kidney stones, and fibrocystic breast disease is a benign breast condition. These conditions do not impact the safety or efficacy of hormonal contraceptives.
Extract:
A nurse in an emergency department is reviewing the medical record of a client who is having an acute myocardial infarction.
Question 3 of 5
Which of the following findings places the client at risk if he receives alteplase?
Correct Answer: B
Rationale: Recent surgeries increase bleeding risks with thrombolytics.
Extract:
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "We can provide a copy of your records, but the therapist's notes are not included." This answer respects the patient's request for records while also maintaining confidentiality of the therapist's notes. Offering a copy of the records shows transparency and willingness to provide information to the patient.
Choices A, C, and D are incorrect because they do not address the patient's request appropriately - A assumes dissatisfaction, C questions the patient's motive, and D dismisses the request without explanation.
Extract:
Question 5 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This is important for clients with dysphagia as it helps facilitate safe swallowing by promoting proper alignment of the head and neck. Sitting at or below the client's eye level reduces the risk of aspiration and choking during feeding. This position also allows the nurse to closely monitor the client for signs of difficulty swallowing.
Choice A is incorrect because instructing the client to lift her chin when swallowing can actually increase the risk of aspiration in individuals with dysphagia.
Choice B is incorrect as talking with the client during feeding may distract them and increase the risk of swallowing difficulties.
Choice D is incorrect because coughing is a protective mechanism that helps clear the airway, so discouraging coughing during feedings is not recommended for clients with dysphagia.