ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Action to Take: Teach the client to use self-talk, Engage with the client several times each day to establish trust; Potential Condition: Anxiety; Parameter to Monitor: Fearfulness, Suicide risk.
Rationale: The correct actions to take for addressing anxiety would be teaching self-talk and building trust through engagement. Fearfulness and suicide risk are relevant parameters to monitor in assessing the client's progress and response to interventions. These choices align with addressing anxiety and ensuring client safety and well-being.
Incorrect
Choices:
- A: "Ask, 'What kind of drugs have you been taking?' and 'Have you been sick recently?' are not appropriate actions for addressing anxiety.
- B: Brief psychotic disorder and delirium are not the potential conditions the client is most likely experiencing.
- C: Monitoring ability to care for self and tremulousness are not the most relevant parameters for assessing anxiety.
Question 2 of 5
A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
Correct Answer: A
Rationale: The correct answer is A: A client who is ambulatory and receiving oxygen should be evacuated first during a fire. This client has limited mobility due to the oxygen supply and is at high risk for respiratory compromise in a fire. Evacuating this client first ensures their safety and prevents potential harm.
Choice B: A client with a fracture in balance suspension traction requires stabilization but is not in immediate danger during a fire.
Choice C: A bedridden client wearing a hearing aid can be safely evacuated after the oxygen-dependent client.
Choice D: A confused client using a wheelchair may need assistance but is not at immediate risk like the oxygen-dependent client.
Question 3 of 5
A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care?(Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct
Answer: A, D, E
Rationale:
A: Giving the client one simple direction at a time is essential for someone with dementia to reduce confusion and facilitate understanding.
D: Reinforcing orientation to time, place, and person helps maintain the client's sense of reality and reduce disorientation.
E: Establishing eye contact when communicating with the client enhances connection and understanding, aiding in effective communication.
Incorrect
Choices:
B: Refuting the client's delusions using logic may lead to frustration and agitation, as individuals with dementia may not be able to understand or accept logical arguments.
C: Allowing the client to choose among a variety of activities each day may overwhelm them with choices, leading to increased confusion and agitation.
Question 4 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer:
Rationale:
Correct
Answer: B. How to secure the tracheostomy tube with ties at the back of the neck.
Rationale: Securing the tracheostomy tube with ties is crucial to prevent accidental dislodgement and ensure proper placement for oxygenation. This step helps maintain the airway and prevents complications. Teaching this ensures safety and proper care for the client.
Incorrect
Choices:
A: Operating the portable suction machine is important but not the priority for discharge teaching.
C: Changing the nondisposable tracheostomy tube daily is not recommended as it can increase the risk of infection.
D: Changing the tracheostomy dressing using clean technique is essential, but securing the tube takes precedence in discharge teaching.
Extract:
A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible.
Question 5 of 5
Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Provide humidification of the room air. Humidification helps to moisturize the air, making it easier for the client to breathe, especially if they have dry mouth or throat. This can improve comfort and prevent irritation.
Choice A is incorrect because alcohol-based mouthwash can further dry out the mouth.
Choice C is incorrect as saltine crackers can exacerbate dry mouth.
Choice D is incorrect as esophageal speech is not related to addressing dry mouth.