ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who is postoperative following a right hip arthroplasty.
Question 1 of 5
For each assessment finding, click to specify if the finding is consistent with malignant hyperthermia, latex allergy, or hypovolemic shock.
| Assessment Finding | Malignant hyperthermia | Hypovolemic shock |
|---|---|---|
| Hypercapnia | ||
| Muscle rigidity | ||
| Tachycardia | ||
| Urticaria | ||
| Wheezes |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
A nurse is caring for a client who has cancer and is terminally ill.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Spiritual support can help address emotional and existential concerns in terminally ill clients.
Extract:
A nurse is caring for a client in a clinic.
Question 3 of 5
Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require follow-up.
Correct Answer: A,D,F,G
Rationale: These findings suggest unresolved trauma and substance use, requiring intervention.
Extract:
Question 4 of 5
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take
Correct Answer: A
Rationale:
Correct
Answer: A: Ensure the state health department has been notified.
Rationale:
1. Lyme disease is a reportable infectious disease, so notifying the state health department is crucial for tracking and controlling its spread.
2. Reporting to the health department allows for proper surveillance and monitoring of the disease in the community.
3. By notifying the health department, appropriate public health interventions can be implemented to prevent further cases.
Summary of Incorrect
Choices:
B: Administer antitoxin - Lyme disease is caused by a bacterium, not a toxin, so antitoxin administration is not appropriate.
C: Educate the family to avoid sharing personal belongings - While important for hygiene, it does not directly address the management of Lyme disease.
D: Assess for skin necrosis - Skin necrosis is not a common manifestation of Lyme disease, so this action is not a priority in caring for a child with Lyme disease.
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 5 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.