ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who has a prescription for lactated Ringer's IV 4,080 ml/24 hr.
Question 1 of 5
The nurse should set the IV infusion pump to deliver how many ml/hr to administer half the total volume in the first 8 hr?
Correct Answer: 255
Rationale: Half of 4,080 mL is 2,040 mL; over 8 hours, this equals 255 mL/hr.
Extract:
Question 2 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer:
Rationale:
Correct Answer: B. How to secure the tracheostomy tube with ties at the back of the neck.
Rationale: Securing the tracheostomy tube with ties is crucial to prevent accidental dislodgement and ensure proper placement for oxygenation. This step helps maintain the airway and prevents complications. Teaching this ensures safety and proper care for the client.
Incorrect
Choices:
A: Operating the portable suction machine is important but not the priority for discharge teaching.
C: Changing the nondisposable tracheostomy tube daily is not recommended as it can increase the risk of infection.
D: Changing the tracheostomy dressing using clean technique is essential, but securing the tube takes precedence in discharge teaching.
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 is caring for a client who has an implanted venous access port.
Question 4 of 5
Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A noncoring needle. The nurse should use a noncoring needle to access the port because it is specifically designed for this purpose. Noncoring needles have a special tip that minimizes damage to the port septum, reducing the risk of complications such as infection or port damage. An angiocatheter (
A) is not ideal for accessing a port as it is designed for venipuncture, not for accessing ports. A 25-gauge needle (
B) may be too small and may not provide adequate flow. A butterfly needle (
C) is not recommended for accessing ports due to its design and potential for septum damage.
Extract:
A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Medicaid can provide financial assistance for prenatal care and delivery.