ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: The nurse should plan to determine the medical needs of incoming clients through the emergency department during a mass casualty event to prioritize care based on severity. This action allows for efficient allocation of resources and timely treatment for those in critical condition. Acting as a liaison with the media (
A) is not a priority during such emergencies. Recommending clients for discharge (
B) is inappropriate as the focus should be on incoming patients. Calling in additional staff (
D) may be necessary but determining medical needs is the immediate priority.
Question 2 of 5
A nurse is caring for an adolescent who has hyperthermia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Initiate seizure precautions. Hyperthermia can lead to seizures due to the brain's sensitivity to high temperatures. Seizure precautions involve ensuring a safe environment, padding the bed, and having emergency equipment ready. Administering oral acetaminophen (
A) is not the priority in hyperthermia as it may not rapidly reduce the temperature. Covering with a thermal blanket (
B) may further increase body temperature. Submerging feet in ice water (
C) can cause vasoconstriction and shivering, leading to increased core temperature.
Extract:
A nurse is caring for a client who has been admitted to the hospital. Nurses' Notes 0900: The client reports experiencing a loss of appetite and shortness of breath within the last month or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol uncontrollably. The client is alert but disoriented to time. Their abdomen is bloated and they have redness of the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow. 1230: Administered antacids, spironolactone, and colchicine per provider's prescription. Laboratory Results 1200: Hgb 9.5 g/dL(14 ta 18 g/dL) Hct 38%(42% to 52%) Bilirubin 5,3 mg/dL(0.3 ta 1.0 mg/dL) Creatinine 1.8 mg/di.(0,6 to 1.3 mg/dU) Platelet count 100,000/mm\*(150,000 to 400,000/mmn) 1800: Alanine aminotransferase ALT 51 units/L(4 to 36 units/L) Aspartate aminotransferase AST 48 units/L(0 to 35 units/L) Alkaline phosphate ALP 151 units/L(30 to 120 units/L) Blood total protein 15 g/di.(6.4 to 8.3 g/dL)
Question 3 of 5
Select the 5 actions the nurse should take.
Correct Answer: A,B,C,E,F,G
Rationale: The correct actions the nurse should take are A, B, C, E, F, and G. A: Providing rest periods promotes healing. B: Restricting sodium intake is crucial for certain health conditions. C: Avoiding soap and alcohol-based lotions can prevent skin irritation. E: Placing the client under contact isolation is necessary to prevent the spread of infection. F: Instructing the client to avoid blowing their nose forcefully prevents injury. G: Assessing the client's level of orientation is essential for monitoring their mental status. Other choices are incorrect because a low-carbohydrate diet (
D) is not mentioned, and it is not a priority action in this scenario.
Extract:
A nurse in an acute care mental health facility is participating in a medication education group.
Question 4 of 5
Which of the following actions should the nurse expect from the leader during the session?
Correct Answer: A
Rationale: The correct answer is A. The leader should allow the group to discuss whatever they would like regarding their medications to encourage active participation and engagement. This approach promotes a patient-centered discussion, empowers group members to share their experiences, concerns, and questions, and fosters a supportive and collaborative learning environment. This helps to address individual needs and promote a deeper understanding of medication management.
Choice B is incorrect because it inhibits open communication and stifles group participation.
Choice C is incorrect as it may not address the specific needs of the group and may limit the discussion to only popular topics.
Choice D is incorrect as it is a passive approach and does not promote active engagement or address individual concerns.
Extract:
A nurse Is providing teaching about immunizations to a client who is pregnant.
Question 5 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.