ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in an emergency department is caring for a client.
Question 1 of 5
For each potential provider prescription click to specify if the prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Administer famotidine 20 mg via intermittent IV infusion twice daily. | ||
| insert an indwelling urinary catheter. | ||
| Administer lactated Ringer's 1L via IV bolus. | ||
| Insert a nasogastric tube and maintain low intermittent suction. |
Correct Answer: A,C,D
Rationale: [
Explanation: The correct answer is - A,C,D. Administering famotidine helps reduce stomach acid, beneficial for clients with gastric issues. Lactated Ringer's IV bolus helps with fluid resuscitation. Inserting a nasogastric tube can help with decompression or feeding. Inserting an indwelling urinary catheter is not typically provider-initiated unless medically necessary.
Therefore, A, C, and D are anticipated for client care, while B is contraindicated unless specifically indicated.]
Question 2 of 5
Select the 3 statements the nurse should include in the teaching.
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A is important as vomiting and diarrhea can lead to dehydration. B is crucial for liver health and overall well-being. C is essential for heart health and maintaining a healthy weight. The other choices are incorrect. D can worsen symptoms and interfere with medication. E may not be suitable for certain health conditions and can lead to weight gain. No information is provided for options F and G.
Question 3 of 5
Which of the following statements by the client indicate an understanding of the discharge teaching? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct statements (A, D, E) demonstrate an understanding of discharge teaching. A shows awareness of dietary recommendations post-discharge. D indicates knowledge of abnormal urine color as a reason to notify the provider. E reflects comprehension of incorporating fish in the diet for health benefits. The incorrect choices (B,
C) suggest misconceptions. B is inaccurate as pale bowel movements may indicate a liver issue. C may be harmful as coffee can interfere with medication.
Extract:
A nurse is planning care for a client who is scheduled for a thoracentesis.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is crucial because coughing can disrupt the procedure, leading to potential complications. Coughing can cause movement that may interfere with the accuracy of the procedure or cause injury to the client. Positioning the client on the affected side (
A) for 4 hours following the procedure is not necessary and can lead to discomfort. Informing the client that they will be NPO for 6 hours prior to the procedure (
C) may not be relevant depending on the type of procedure. Placing the client in the prone position during the procedure (
D) can be risky and uncomfortable for the client.
Extract:
A nurse is assessing a 2-year-old toddler.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Nontender, protruding abdomen. This finding is expected in a child with kwashiorkor, a form of severe protein-energy malnutrition. The nontender, protruding abdomen is due to fluid accumulation in the abdomen (ascites) and the lack of muscle mass. This is a key characteristic of kwashiorkor. The other choices are incorrect because:
A) Head circumference exceeding chest circumference is not a typical finding in children;
B) Fontanels should be soft and flat in infants, not palpable;
C) Natural loss of deciduous teeth occurs around age 6-12 years, not in infancy.