ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who has a spinal cord injury.
Question 1 of 4
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Potential Nursing Action | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Assess for urinary retention. | ||
| Assess blood pressure every 15 min | ||
| Withhold pain medication for headache until other manifestations resolve. | ||
| Place client in supine position | ||
| Administer nifedipine. |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds.
Question 2 of 4
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The palpatory method can help obtain a more accurate reading when sounds are difficult to auscultate.
Extract:
A nurse is caring for a client who is postoperative following a right hip arthroplasty.
Question 3 of 4
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 4 of 4
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 5 of 4
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.