ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who has a prescription for a peripheral IV catheter.
Question 1 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:
A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.
Question 2 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 chronic pain about avoiding constipation from opioid medications.
Question 3 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 teaching a client who has rheumatoid arthritis about illness management.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Take a hot shower in the morning to decrease stiffness. This instruction is appropriate for managing symptoms of arthritis by helping to reduce stiffness in the joints. Cold packs directly on the skin (choice
A) can worsen symptoms. Administering biological response modifiers (choice
B) is not a nursing role. Clustering physical activities during the day (choice
D) can help manage symptoms but is not as specific or targeted as a hot shower for reducing stiffness.
Extract:
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Question 5 of 5
Which of the following examples should the nurse include in the teaching as an example of malpractice?
Correct Answer: C
Rationale: The correct answer is C because leaving a nasogastric tube clamped after administering oral medication is an example of malpractice. This action can lead to obstruction and potential harm to the client. Documenting communication (
A) is a standard practice to ensure accurate record-keeping. Placing a yellow bracelet (
B) is a safety measure. Administering potassium via IV bolus (
D) is within the scope of practice if done correctly.