ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wear clean cotton socks every day. This instruction is crucial for diabetic foot care as it helps prevent moisture buildup, reduces the risk of infections, and maintains proper foot hygiene. Clean cotton socks minimize friction, provide cushioning, and promote good circulation.
Rationale for other choices:
A: Soaking feet twice daily can lead to dry skin, increasing the risk of skin breakdown and infection.
B: Rounding the edges of toenails can cause injury and increase the risk of ingrown toenails.
C: Using moisturizing lotion between the toes can create a moist environment, promoting fungal growth and skin maceration.
Extract:
A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs.
Question 2 of 5
Which of the following laboratory findings should the nurse expect following the transfusion?
Correct Answer: B
Rationale: The correct answer is B: Increased Hct. Following a transfusion, the nurse should expect an increase in hematocrit (Hct) levels due to the addition of packed red blood cells. This will result in an increase in the concentration of red blood cells in the blood, leading to a higher Hct value. The other choices are incorrect as:
A) Increased platelets are not typically affected by a red blood cell transfusion,
C) Decreased Hgb would not be expected as the purpose of the transfusion is to increase hemoglobin levels, and
D) Decreased WBC count is unrelated to a red blood cell transfusion.
Extract:
A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.
Question 3 of 5
Which of the following Instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Participate in range-of-motion exercises. This instruction is important to prevent complications such as blood clots and muscle stiffness post-procedure. Range-of-motion exercises help maintain joint flexibility and circulation.
Choice A is incorrect as prolonged bed rest can increase the risk of blood clots.
Choice C is important but not as crucial immediately post-procedure compared to mobilizing joints.
Choice D is a comfort measure and does not have direct implications for post-procedure complications.
Extract:
A nurse is teaching a client who has a tibia fracture about using crutches with a three-point gait.
Question 4 of 5
Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Proper hand positioning ensures effective crutch use.
Extract:
A nurse manager is updating protocols for the use of belt restraints.
Question 5 of 5
Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is crucial to monitor the client's well-being, detect any changes promptly, and ensure the effectiveness of the restraint. Removing the restraint every 4 hours (choice
A) can compromise the client's safety and defeat the purpose of using restraints. Requesting a PRN restraint prescription for aggressive clients (choice
C) may lead to overuse of restraints without proper assessment. Attaching restraints to the bed's side rails (choice
D) can increase the risk of injury and is not recommended. Regular documentation is essential in ensuring the client's safety and well-being.