ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a newborn. Vital Signs 0640: Temperature 36.7° C(98.1° F) axillary Heart rate 154/min Respiratory rate 68/min BP 72/48 mm Hg 0650: Heart rate 156/min Respiratory rate 72/min 0700: Temperature 37° C(98.6° F) axillary Heart rate 156/min Respiratory rate 76/min Admission Assessment 0630: Newborn delivered via cesarean birth under spinal anesthesia at 0630. Amniotic fluid clear 0631: 1-min Apgar score 7 0536 5-min Apgar score 9 Newborn transferred to nursery Nurses' Notes 0640: Weight 4200 gm(9 ib 4 oz, head circumference 35.5 cm(14 in) Respiratory rate 68/min, with mild grunting 0650: Respiratory rate 72/min, with mild grunting 0700: Respiratory rate 76/min, with moderate grunting and mild intercostal retractions
Question 1 of 5
The client is at risk for developing ------- and--------
Correct Answer: A, C
Rationale: The correct answer is A and C. Hypoglycemia and transient tachypnea of the newborn are common risks for newborns. Hypoglycemia can occur due to immature liver function, while transient tachypnea results from retained lung fluid. The other choices are incorrect because bronchopulmonary dysplasia is a chronic lung condition seen in premature infants, and tachycardia is a symptom of various conditions but not typically a primary risk for newborns.
Extract:
Question 2 of 5
A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Sunken fontanels and dry mucous membranes. These findings indicate severe dehydration in the infant, which is a critical condition that requires immediate intervention. Sunken fontanels suggest significant fluid loss, while dry mucous membranes are indicative of dehydration. Reporting these findings to the provider is crucial for prompt treatment to prevent further complications.
Incorrect Answer A: Pale and a 24 hr fluid deficit of 30 ml. Pale skin alone may not indicate severe dehydration, and a 24-hour fluid deficit of 30 ml is relatively small and not alarming.
Incorrect Answer C: Decreased appetite and irritability. These are common symptoms of gastroenteritis and may not necessarily indicate a need for immediate reporting to the provider.
Incorrect Answer D: Temperature 38° C and pulse rate 124/min. These vital signs are elevated but do not directly indicate severe dehydration requiring immediate reporting.
Question 3 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular events. Hypertension can be exacerbated by hormonal contraceptives, leading to serious complications like stroke or heart attack. It is crucial for women with hypertension to avoid estrogen-containing contraceptives.
B: Fibromyalgia, C: Renal calculi, D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. Fibromyalgia is a chronic pain disorder, renal calculi are kidney stones, and fibrocystic breast disease is a benign breast condition. These conditions do not impact the safety or efficacy of hormonal contraceptives.
Question 4 of 5
A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B: "I know It will be a couple of weeks before the medication helps me feel better"
Rationale: Amitriptyline is a tricyclic antidepressant that can take several weeks to reach its full therapeutic effect. This statement shows the client understands the delayed onset of action of the medication, managing expectations. This is crucial in ensuring the client does not become discouraged if they do not feel immediate improvement.
Incorrect
Choices:
A: "I can continue to take St John's wort while taking this medication" - St John's wort can interact with amitriptyline, leading to increased side effects and reduced effectiveness.
C: "I expect this medication to raise my blood pressure" - Amitriptyline can indeed cause hypotension, not hypertension.
D: "I should take this medication on an empty stomach" - Amitriptyline should be taken with food to reduce gastrointestinal side effects and improve absorption.
Question 5 of 5
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture?
Correct Answer: D
Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps to maintain proper alignment of the foot, preventing contractures that can occur due to prolonged immobility. Placing a pillow under the client's knees (choice
A) is beneficial for reducing pressure on the lower back but does not specifically address foot contractures. Similarly, placing a towel roll under the client's neck (choice
B) is helpful for neck support but does not prevent foot contractures. Aligning a trochanter wedge between the client's legs (choice
C) is aimed at hip alignment and not foot contractures.
Therefore, the most appropriate intervention to prevent foot contractures in an immobile client is applying an orthotic to the client's foot.