ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A. When setting up a sterile field, it is essential to maintain sterility. By removing the cap and placing it sterile-side up on a clean surface, the nurse ensures that the inside of the cap, which will come into contact with the sterile solution, remains uncontaminated. Placing the cap sterile-side up prevents any potential contaminants from coming into contact with the solution. This practice follows aseptic technique guidelines to prevent the introduction of pathogens.
Choices B, C, and D are incorrect because they do not address the key principle of maintaining sterility. Placing sterile gauze over spilled solution (
B) can introduce contaminants to the field, holding the bottle in the center (
C) does not prevent contamination, and the orientation of the label (
D) does not affect sterility.
Extract:
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because the nurse should offer to review information to assist the patient in selecting a safe alternative practitioner, showing support and guidance.
Choice B is incorrect because it assumes the provider will inform the patient of therapies, not necessarily the nurse.
Choice C is incorrect as it lacks professional guidance and may lead to unsafe choices.
Choice D is incorrect as it suggests the patient can find remedies independently without professional advice.
Extract:
A nurse Is providing teaching about immunizations to a client who is pregnant.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You can receive the immunization for influenza at any time during your pregnancy. This statement is correct because the influenza vaccine is recommended for pregnant women at any stage of pregnancy to protect both the mother and the unborn baby. It is safe and effective during pregnancy.
Incorrect choices:
A: The immunization for varicella should be given at least 1 month prior to delivery - This is incorrect because the varicella vaccine is not routinely recommended during pregnancy.
B: You can receive the rubella immunization during the third trimester of pregnancy - This is incorrect because the rubella vaccine is contraindicated during pregnancy.
C: The hepatitis B immunization should not be obtained until after you finish breastfeeding - This is incorrect because the hepatitis B vaccine is recommended during pregnancy to prevent transmission to the baby.
Extract:
A nurse is caring for a client who has a prescription for a peripheral IV catheter.
Question 4 of 5
After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?
Correct Answer: C
Rationale: The correct answer is C: Advance the catheter into the vein. After confirming blood return in the flashback chamber, advancing the catheter ensures proper placement within the vein for medication delivery. Retracting the stylet (
B) prematurely can displace the catheter. Flushing with saline (
A) before confirming placement is risky. Releasing the tourniquet (
D) is done after securing catheter placement.
Extract:
Question 5 of 5
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,D,E,A,B
Rationale:
To perform nasotracheal suctioning correctly, the nurse should follow these steps:
1. Dan sterile gloves (
C): Ensures aseptic technique to prevent infection.
2. Insert the catheter during the client's inspiration (
D): Reduces the risk of hypoxia and trauma.
3. Turn on the suction and set the pressure (E): Prepares the equipment for suctioning.
4. Apply suction while rotating the catheter (
A): Maximizes removal of secretions.
5. Rinse the catheter to remove secretions (
B): Ensures cleanliness of the catheter for next use.
Other choices are incorrect:
- F and G are not applicable in this sequence as they do not contribute to the safe and effective performance of nasotracheal suctioning.