ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion.
Question 1 of 5
For which of the following therapeutic effects should the nurse monitor the client?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes 2+. Monitoring deep tendon reflexes is essential in assessing neurological function and detecting abnormalities such as hyperreflexia or hyporeflexia. A normal response of 2+ indicates intact neurological pathways. Abnormal reflexes could be indicative of various neurological conditions. Pulse rate, urine output, and proteinuria are important parameters to monitor but are not specifically related to therapeutic effects. Monitoring deep tendon reflexes is crucial for detecting early signs of neurological complications and guiding appropriate interventions.
Extract:
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Question 2 of 5
Which of the following examples should the nurse include in the teaching as an example of malpractice?
Correct Answer: C
Rationale: The correct answer is C because leaving a nasogastric tube clamped after administering oral medication is an example of malpractice. This action can lead to obstruction and potential harm to the client. Documenting communication (
A) is a standard practice to ensure accurate record-keeping. Placing a yellow bracelet (
B) is a safety measure. Administering potassium via IV bolus (
D) is within the scope of practice if done correctly.
Extract:
Question 3 of 5
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: The nurse should plan to determine the medical needs of incoming clients through the emergency department during a mass casualty event to prioritize care based on severity. This action allows for efficient allocation of resources and timely treatment for those in critical condition. Acting as a liaison with the media (
A) is not a priority during such emergencies. Recommending clients for discharge (
B) is inappropriate as the focus should be on incoming patients. Calling in additional staff (
D) may be necessary but determining medical needs is the immediate priority.
Extract:
A nurse is caring for a client who has cancer and is terminally ill.
Question 4 of 5
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 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.