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 a placenta previa.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Spotting. Spotting is a common finding in early pregnancy due to implantation bleeding or hormonal changes. It is often a normal occurrence, especially in the first trimester. Nausea (choice
B) is another common finding in early pregnancy, known as morning sickness. Polyhydramnios (choice
C) is an excessive accumulation of amniotic fluid and is not typically an expected finding. Uterine tenderness (choice
D) can be a sign of infection or other issues, not a typical finding in early pregnancy.
Extract:
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "We can provide a copy of your records, but the therapist's notes are not included." This answer respects the patient's request for records while also maintaining confidentiality of the therapist's notes. Offering a copy of the records shows transparency and willingness to provide information to the patient.
Choices A, C, and D are incorrect because they do not address the patient's request appropriately - A assumes dissatisfaction, C questions the patient's motive, and D dismisses the request without explanation.
Extract:
A nurse is preparing to administer a medication that is available in a glass ampule.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: The nurse should use a filter needle to withdraw the medication. This is the correct action as filter needles help prevent the introduction of particulate matter or impurities into the medication, ensuring patient safety. Using a filter needle also reduces the risk of needlestick injuries and contamination.
Choice B is incorrect as breaking the neck of the ampule towards the body increases the risk of injury due to glass shards flying towards the nurse.
Choice C is incorrect as it violates safe medication administration practices by risking contamination.
Choice D is incorrect as ampules should be disposed of in a sharps container, not the trash can.
Extract:
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain.
Question 5 of 5
The nurse should identity which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D. Herpes zoster is a contraindication for certain treatments because it is a viral infection that can worsen with immunosuppressive therapy. Hypertension, obesity, and hypothyroidism are not direct contraindications for receiving the treatment mentioned. Hypertension can be managed, obesity and hypothyroidism do not directly impact the treatment's efficacy. Herpes zoster, on the other hand, can lead to serious complications if the treatment suppresses the immune system. It is crucial to address active infections before starting immunosuppressive therapy to prevent further complications.