ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.
Question 1 of 5
The nurse should monitor the client for which of the following complications?
Correct Answer: A
Rationale: Contractions can indicate preterm labor, a potential complication after amniocentesis.
Extract:
A nurse is teaching a prenatal class about infection prevention at a community center.
Question 2 of 5
Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Chickenpox sores crust over before becoming non-contagious.
Extract:
Question 3 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.
| Potential Prescription | Anticipated | Not Anticipated |
|---|---|---|
| Place client in supine position | ||
| Limit fluid intake to 3,000 mL/day | ||
| Administer oxytocin | ||
| Maintain bed rest with bathroom privileges | ||
| Administer betamethasone. | ||
| Administer terbutaline. |
Correct Answer: D,E,F
Rationale: [0, 0, 0, 1, 1, 1]
For the correct answer :
- D: Maintaining bed rest with bathroom privileges is anticipated as it helps in preventing physical strain while allowing essential movement.
- E: Administering betamethasone is anticipated for fetal lung maturation in preterm labor.
- F: Administering terbutaline is anticipated for delaying preterm labor by relaxing uterine muscles.
Other choices:
- A: Placing the client in a supine position is not anticipated as it can decrease blood flow to the fetus.
- B: Limiting fluid intake to 3,000 mL/day is not anticipated as hydration is vital during pregnancy.
- C: Administering oxytocin is not anticipated unless there is a specific indication for labor induction.
Question 4 of 5
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the cient's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?
Correct Answer: C
Rationale: The correct answer is C: INR. The International Normalized Ratio (INR) is used to monitor and adjust the dosage of warfarin, an anticoagulant medication. A nurse needs to report the INR level to the provider to determine if the current dosage of warfarin is effective in preventing blood clots. A higher INR indicates a longer time it takes for blood to clot, meaning the warfarin dosage might need adjustment.
Incorrect choices:
A: Fibrinogen level - Fibrinogen is a protein involved in blood clotting but is not specific for monitoring warfarin therapy.
B: aPTT - Activated Partial Thromboplastin Time (aPTT) is used to monitor heparin therapy, not warfarin.
D: Platelet count - Platelet count measures the number of platelets in the blood and is not directly related to warfarin therapy.
Overall, the INR is the most
Extract:
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis.
Question 5 of 5
Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedural weight. This is the most appropriate action to evaluate the effectiveness of the procedure because changes in weight can indicate fluid retention or loss, which are common outcomes of many procedures. This comparison helps assess if the procedure had the desired effect on the client's fluid status.
Examine for leakage at the site of the procedure (
A) is not the best action to evaluate the procedure's effectiveness as leakage may not always correlate with the overall success of the procedure. Confirming that the client is able to urinate (
C) is important but may not directly indicate the effectiveness of the procedure. Checking the client's serum albumin levels (
D) is relevant for assessing nutritional status but may not directly evaluate the procedure's effectiveness.