ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in an emergency department is caring for a client.
Question 1 of 5
For each assessment finding, click to specify if the finding is an indication of physical maltreatment, neglect, or financial maltreatment.
| Finding | physical maltreatment | neglect | financial maltreatment |
|---|---|---|---|
| Client reports having little food in the house. | |||
| Client has bruises in various stages of healing. | |||
| Client wears dirty clothing | |||
| Client has no access to bank accounts |
Correct Answer: A,B,C,D
Rationale: These findings suggest multiple forms of maltreatment.
Extract:
Question 2 of 5
A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating?
Correct Answer: A
Rationale: The correct answer is A: Banana slices.
Toddlers at the age of 2 are developing their fine motor skills and independence. Banana slices are easy for toddlers to pick up and eat independently, promoting their self-feeding skills. Grapes pose a choking hazard due to their size and shape. Hot dogs are also a choking hazard as they can easily get stuck in a toddler's throat. Popcorn is a common choking hazard for young children due to its hard texture.
Therefore, recommending banana slices will not only promote independence in eating but also ensure safety for the toddler.
Extract:
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.
Extract:
A nurse in an emergency department is reviewing the medical record of a client who is having an acute myocardial infarction.
Question 4 of 5
Which of the following findings places the client at risk if he receives alteplase?
Correct Answer: B
Rationale: Recent surgeries increase bleeding risks with thrombolytics.
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.