ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in an emergency department is caring for a client. History and Physical 0400:
Question 1 of 5
For each finding. click to specify if the finding is consistent with pancreatitis or peritonitis Each finding may support more than one disease process.
| Findings | Pancreatitis | Peritonitis |
|---|---|---|
| Bloody stools | ||
| Hyperbilirubinemia | ||
| Abdominal pain | ||
| Elevated WBC court |
Correct Answer: A,B,C,D
Rationale: The correct answer is .
Rationale:
1. Bloody stools can be seen in both pancreatitis and peritonitis due to gastrointestinal bleeding.
2. Hyperbilirubinemia is a common finding in pancreatitis due to obstruction of the bile duct by edema or inflammation.
3. Abdominal pain is a hallmark symptom of both pancreatitis and peritonitis, indicating inflammation or irritation of the abdominal structures.
4. Elevated WBC count is a sign of infection or inflammation, which can be present in both pancreatitis and peritonitis.
Summary:
- Bloody stools: Supports both pancreatitis and peritonitis.
- Hyperbilirubinemia: Supports pancreatitis.
- Abdominal pain: Supports both pancreatitis and peritonitis.
- Elevated WBC count: Supports both pancreatitis and peritonitis.
Other choices are incorrect because they do not align with the typical clinical presentations of pancreatitis
Extract:
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community, In anticipation of multiple client admissions,
Question 2 of 5
Which of the following current clients should the nurse recommend for early discharge?
Correct Answer: D
Rationale: Stable postoperative clients can be discharged safely.
Extract:
Question 3 of 5
A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Explain to the child what will happen when the abuse is reported.
Rationale: It is crucial for the nurse to inform the child about the reporting process to ensure transparency and build trust. This empowers the child and helps them understand the next steps. It also promotes their involvement in decision-making regarding their well-being. By explaining the process, the nurse can offer emotional support and reassurance to the child. This approach respects the child's autonomy and dignity.
Incorrect
Choices:
A: Using leading statements can influence the child's responses and compromise the accuracy of information obtained.
B: Having multiple nurses present may intimidate the child and breach confidentiality.
D: Reassuring the child that no one will be told about the abuse may perpetuate feelings of isolation and hinder the necessary intervention.
Extract:
A nurse is planning teaching for a client and their family about home oxygen therapy.
Question 4 of 5
Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains harsh chemicals that can be harmful if inhaled or absorbed through the skin, especially for clients with compromised health conditions. Applying petroleum jelly (choice
A) may not be recommended as it can trap bacteria and cause infection. Using synthetic fabrics for bedding (choice
B) may not be ideal as natural fibers are more breathable and comfortable. Cleaning equipment with alcohol-based products (choice
C) may not be suitable as it can be irritating to sensitive skin.
Therefore, choice D is the best option for the client's safety and well-being.
Extract:
A nurse is caring for a school-age child who is 2 hr postoperative following a cardiac catheterization.
Question 5 of 5
The nurse observes blood on the child's dressing.Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Continuous pressure above the site controls bleeding effectively.