ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: D
Rationale: The correct answer is D: Beneficence. Beneficence is the ethical principle that involves doing good and promoting the well-being of others. By sitting with the client to provide comfort after the loss of their partner, the nurse is demonstrating beneficence by showing compassion and support. Fidelity (
A) relates to keeping promises and being faithful to commitments. Veracity (
B) is about truthfulness and honesty. Autonomy (
C) refers to respecting the client's right to make their own decisions. The other choices are not directly related to the nurse's action of providing comfort in this context.
Extract:
A nurse is caring for a client who is experiencing a panic attack.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Providing a calming presence can help de-escalate panic symptoms.
Extract:
Question 4 of 5
A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the client's ability to help with repositioning. This is crucial as it assesses the client's capability and involvement in the process, promoting independence and preventing complications.
Choice B is incorrect as assistive devices may be necessary for safety.
Choice C is incorrect as raising side rails can limit access and may not be needed.
Choice D is incorrect as discussing preferences is important but not directly related to repositioning.
Extract:
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.