ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Speak directly to the client. This is important because even when using an interpreter, the nurse should maintain eye contact and address the client directly to establish trust and ensure the message is accurately conveyed. Speaking slowly (choice
A) may be helpful, but it is not as crucial as direct communication. Pausing in the middle of sentences (choice
B) could lead to confusion. Using gestures (choice
D) may not always accurately convey the intended message.
Therefore, speaking directly to the client is the most effective way to ensure clear communication and understanding.
Extract:
A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase exercise activity. This is important for promoting regular bowel movements and overall gastrointestinal health. Exercise helps stimulate the digestive system and aids in relieving constipation. Taking mineral oil (choice
A) can interfere with nutrient absorption and is not recommended for long-term use. Decreasing insoluble fiber intake (choice
B) can worsen constipation as fiber helps promote bowel regularity. Drinking 1.5 L of fluids each day (choice
C) is important for hydration but alone may not be sufficient to improve bowel function. Increasing exercise activity (choice
D) is the most effective way to promote healthy digestion and prevent constipation.
Extract:
A nurse is caring for a postoperative client following a perineal prostatectomy.
Question 3 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Irrigate indwelling urinary catheter with 50 mL of normal saline: | ||
| Administer enema to relieve constipation | ||
| Maintain bed rest for 2 days postoperatively | ||
| Place a blanket rob under the client's knees while in bed. | ||
| Apply warm compresses to the incision site. |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
Question 4 of 5
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture?
Correct Answer: D
Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps to maintain proper alignment of the foot, preventing contractures that can occur due to prolonged immobility. Placing a pillow under the client's knees (choice
A) is beneficial for reducing pressure on the lower back but does not specifically address foot contractures. Similarly, placing a towel roll under the client's neck (choice
B) is helpful for neck support but does not prevent foot contractures. Aligning a trochanter wedge between the client's legs (choice
C) is aimed at hip alignment and not foot contractures.
Therefore, the most appropriate intervention to prevent foot contractures in an immobile client is applying an orthotic to the client's foot.
Extract:
A nurse is caring for an infant who has coarctation of the aorta.
Question 5 of 5
Which of the following should the nurse identify as an expected finding?
Correct Answer: A
Rationale: Coarctation of the aorta often results in weak or absent femoral pulses due to reduced blood flow to the lower extremities.