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 providing nutrition teaching for a client who has hypertension.
Question 2 of 5
Which of the following foods should the nurse suggest the client include in their diet?
Correct Answer: D
Rationale: Fish is low in saturated fats and beneficial for cardiovascular health.
Extract:
Question 3 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. In acute glomerulonephritis, there is inflammation of the glomeruli in the kidneys leading to blood in the urine. This is known as hematuria. Polyuria (choice
A) is not typically seen in this condition as the kidneys are not able to effectively filter urine. Hypotension (choice
B) is unlikely as fluid retention and hypertension are more common due to decreased kidney function. Weight loss (choice
C) is not a common finding as the condition often leads to fluid retention.
Therefore, hematuria is the most expected finding in acute glomerulonephritis.
Question 4 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.
Question 5 of 5
Which of the following findings require follow-up?
Correct Answer: E,F,G
Rationale: The correct answers are E, F, and G because they indicate potential complications during pregnancy.
E: Lower back pain and pinkish vaginal discharge can be signs of preterm labor or placental issues, requiring immediate follow-up.
F: Uterine contractions every 8 minutes, strong palpation, and duration 30 seconds suggest active labor, needing monitoring for progression.
G: Fetal heart rate (FHR) baseline of 145 with minimal variability may indicate fetal distress, necessitating further assessment.
Other choices are routine findings or do not pose immediate risks, such as A (normal obstetric history), B (routine lab tests), C (Rh+ blood type is common), and D (history of preterm birth but no current concerns).