ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse reviews the entries in the medical record.
Question 1 of 5
For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Potential Prescription | Anticipated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 91/60 mm. Hg | ||
| Obtain the first unit of packed RBCS from the blood bank. | ||
| Start an IV bolus of lactated Ringers solution. |
Correct Answer: A,B,D
Rationale: [A: 1, B: 1, C: 0, D: 1, E: 0, F: , G: ]
- A: Documenting blood product transfusion is crucial for legal and tracking purposes.
- B: Staying with the client ensures immediate response to any adverse reactions.
- C: Titration of infusion rate for BP is not within nursing scope without physician order.
- D: Obtaining packed RBCs precedes transfusion to verify compatibility.
- E: Starting IV bolus of LR is not indicated as it is unrelated to the transfusion process.
Extract:
A nurse is caring for a client who has generalized petechiae and ecchymoses.
Question 2 of 5
The nurse should expect a prescription for which of the following laboratory tests?
Correct Answer: A
Rationale: Petechiae and ecchymoses suggest thrombocytopenia warranting platelet count evaluation.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
Question 3 of 5
The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Contractions can indicate preterm labor, a potential complication after amniocentesis.
Extract:
A nurse is caring for a postpartum client in an outpatient setting.
Question 4 of 5
Complete the following sentence by using the lists of options.The client is at highest risk for developing---- as evidenced by the client's-------
Correct Answer: B,F
Rationale: Cracked nipples increase the risk of mastitis, especially in breastfeeding mothers.
Extract:
Question 5 of 5
A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Sit at or below the client's eye level during feedings. This is important for clients with dysphagia as it helps facilitate safe swallowing by promoting proper alignment of the head and neck. Sitting at or below the client's eye level reduces the risk of aspiration and choking during feeding. This position also allows the nurse to closely monitor the client for signs of difficulty swallowing.
Choice A is incorrect because instructing the client to lift her chin when swallowing can actually increase the risk of aspiration in individuals with dysphagia.
Choice B is incorrect as talking with the client during feeding may distract them and increase the risk of swallowing difficulties.
Choice D is incorrect because coughing is a protective mechanism that helps clear the airway, so discouraging coughing during feedings is not recommended for clients with dysphagia.