ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a postoperative client following a perineal prostatectomy.
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Irrigate indwelling urinary catheter with 50 mL of normal saline: | ||
| Administer enema to relieve constipation | ||
| Maintain bed rest for 2 days postoperatively | ||
| Place a blanket rob under the client's knees while in bed. | ||
| Apply warm compresses to the incision site. |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
Question 2 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with a hip fracture and new onset of tachypnea first. Tachypnea in this client could indicate a potential complication such as a pulmonary embolism, which is a life-threatening condition requiring immediate intervention. Assessing this client first allows for prompt identification and management of any emergent issues. Clients with epidural analgesia and lower extremity weakness (choice
A) may indicate a neurological concern but are not as urgent as tachypnea in a client with a hip fracture. Sinus arrhythmia with cardiac monitoring (choice
C) and diabetes mellitus with an HbA1c of 6.8% (choice
D) do not present immediate life-threatening situations that require immediate assessment compared to the client with a hip fracture and tachypnea.
Question 3 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer:
Rationale:
Correct Answer: B. How to secure the tracheostomy tube with ties at the back of the neck.
Rationale: Securing the tracheostomy tube with ties is crucial to prevent accidental dislodgement and ensure proper placement for oxygenation. This step helps maintain the airway and prevents complications. Teaching this ensures safety and proper care for the client.
Incorrect
Choices:
A: Operating the portable suction machine is important but not the priority for discharge teaching.
C: Changing the nondisposable tracheostomy tube daily is not recommended as it can increase the risk of infection.
D: Changing the tracheostomy dressing using clean technique is essential, but securing the tube takes precedence in discharge teaching.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?
Correct Answer: C
Rationale:
Rationale: Acetaminophen is the appropriate pain relief option to be taken concurrently with enoxaparin because it does not interfere with platelet aggregation or clotting factors, unlike other options. Ibuprofen, naproxen sodium, and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) which can increase the risk of bleeding when taken with enoxaparin. Acetaminophen, on the other hand, does not have the same effect on platelet function, making it a safer choice for pain relief in patients taking enoxaparin.
Extract:
A nurse is reviewing the client's electronic medical record.
Question 5 of 5
Which of the following findings require follow up? Select all that apply.
Correct Answer: A,B,D,E
Rationale: These findings suggest infection and respiratory distress, requiring immediate follow-up.