ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min.
Question 1 of 5
The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: D
Rationale: Maternal hypoglycemia can lead to fetal bradycardia.
Extract:
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B because administering analgesics on a scheduled basis for the first 24 hours post-surgery helps manage pain effectively. Pain management is crucial for patient comfort and promotes early mobilization.
Choice A is incorrect because cromolyn nebulized solution is not typically used post-operatively.
Choice C is incorrect as applying a warm compress once daily may not provide adequate pain relief.
Choice D is incorrect as clear liquids are usually started slowly to prevent nausea and vomiting, not 6 hours post-surgery.
Extract:
Question 3 of 5
Which of the following findings require follow-up?
Correct Answer: E,F,G
Rationale: The correct answers are E, F, and G because they indicate potential complications during pregnancy.
E: Lower back pain and pinkish vaginal discharge can be signs of preterm labor or placental issues, requiring immediate follow-up.
F: Uterine contractions every 8 minutes, strong palpation, and duration 30 seconds suggest active labor, needing monitoring for progression.
G: Fetal heart rate (FHR) baseline of 145 with minimal variability may indicate fetal distress, necessitating further assessment.
Other choices are routine findings or do not pose immediate risks, such as A (normal obstetric history), B (routine lab tests), C (Rh+ blood type is common), and D (history of preterm birth but no current concerns).
Extract:
A nurse is caring for a client who has a spinal cord injury.
Question 4 of 5
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Potential Nursing Action | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Assess for urinary retention. | ||
| Assess blood pressure every 15 min | ||
| Withhold pain medication for headache until other manifestations resolve. | ||
| Place client in supine position | ||
| Administer nifedipine. |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
A nurse is admitting a client to a medical-surgical unit.
Question 5 of 5
When performing medication reconciliation for the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Comparing prescriptions prevents duplication and interactions.