ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care?(Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time is essential for someone with dementia to reduce confusion and facilitate understanding.
D: Reinforcing orientation to time, place, and person helps maintain the client's sense of reality and reduce disorientation.
E: Establishing eye contact when communicating with the client enhances connection and understanding, aiding in effective communication.
Incorrect
Choices:
B: Refuting the client's delusions using logic may lead to frustration and agitation, as individuals with dementia may not be able to understand or accept logical arguments.
C: Allowing the client to choose among a variety of activities each day may overwhelm them with choices, leading to increased confusion and agitation.
Extract:
A nurse is caring for a client.
Question 2 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.
Extract:
A nurse in an emergency department is caring for a client who has a closed head injury.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's Glasgow Coma Scale (GCS) score. This is the priority action as it helps assess the client's level of consciousness and neurological status quickly. It guides further interventions and treatment decisions. Inserting an indwelling urinary catheter (
B) or administering mannitol IV bolus (
C) may be needed but assessing neurological status comes first. Preparing for an MRI (
D) is important but not the initial step.
Extract:
Question 4 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.
Question 5 of 5
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Wear loose-fitting underwear. Tight clothing can trap moisture and bacteria, leading to UTIs. Loose-fitting underwear allows for better air circulation, reducing the risk of infection.
Choice B is incorrect as bubble baths can irritate the urinary tract.
Choice C is important for hydration but not directly related to preventing UTIs.
Choice D is good practice for bladder health but does not specifically address UTI prevention.