ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client.
Question 1 of 5
Select the 5 findings that require immediate follow-up
Correct Answer: A,B,D,E,H
Rationale: The correct choices for immediate follow-up are A, B, D, E, and H. Stool results (
A) are crucial for detecting gastrointestinal issues. Hemoglobin and hematocrit (
B) levels indicate blood health. Heart rate (
D) reflects cardiovascular function. Current medications (E) help assess potential drug interactions. WIC count (H) is essential for monitoring infection. Respiratory rate (
C) and temperature (F) are important but not as urgent.
Question 2 of 5
The nurse anticipates the client will likely require-------as evidenced by the client’s---------
Correct Answer: B,D
Rationale: The correct answers are B (stool test results) and D (an endoscopy). The nurse anticipates the client will likely require a stool test based on gastrointestinal symptoms, such as abdominal pain or blood in stool. Stool test results can help diagnose gastrointestinal issues. Additionally, the nurse may anticipate the need for an endoscopy to further investigate gastrointestinal symptoms, like persistent reflux or difficulty swallowing.
Choices A, C, E, and F are less likely as they are not directly related to gastrointestinal issues.
Choice E (antifungal prescription) may be relevant in case of fungal infection, but gastrointestinal symptoms would not typically prompt this.
Choice F (oxygen via nonrebreather mask) is more related to respiratory issues.
Extract:
A nurse is obtaining the client’s vital signs prior to an endoscopy
Question 3 of 5
The nurse should first anticipate-------, followed by-----------
Correct Answer: A,E
Rationale: The correct answer is A, obtain IV access, and E, prepare to administer IV fluids. First, obtaining IV access is essential to establish a route for administering medications and fluids. This step is crucial in a critical situation to ensure quick access for emergency interventions. Next, preparing to administer IV fluids is important to address potential fluid imbalances or hypovolemia in the client. The other choices are incorrect because placing the client in a supine position with feet elevated (
B) may be contraindicated in certain conditions, rechecking oxygen saturation (
C) may delay urgent interventions, calling the surgical suite (
D) is premature without stabilizing the client first, checking an arterial blood gas (F) and ECG (G) are important but not immediate priorities in this scenario.
Extract:
A nurse reviews the entries in the medical record.
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B
Rationale: The correct actions are A and B. A second nurse confirming the information on the blood label ensures accuracy and prevents errors. Inserting a large bore IV catheter allows for rapid transfusion and prevents complications.
Choice C ensures informed consent but is not directly related to the transfusion process.
Choice D is incorrect because dextrose cannot be used to flush transfusion tubing.
Choice E is incorrect as it provides inaccurate information to the client.
Question 5 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.