ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy.
Question 1 of 5
Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?
Correct Answer: C
Rationale: Suctioning longer than 10-15 seconds risks hypoxia.
Extract:
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis.
Question 2 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.
Extract:
Question 3 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with a hip fracture and new onset of tachypnea first. Tachypnea in this client could indicate a potential complication such as a pulmonary embolism, which is a life-threatening condition requiring immediate intervention. Assessing this client first allows for prompt identification and management of any emergent issues. Clients with epidural analgesia and lower extremity weakness (choice
A) may indicate a neurological concern but are not as urgent as tachypnea in a client with a hip fracture. Sinus arrhythmia with cardiac monitoring (choice
C) and diabetes mellitus with an HbA1c of 6.8% (choice
D) do not present immediate life-threatening situations that require immediate assessment compared to the client with a hip fracture and tachypnea.
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,E
Rationale: The correct actions for the nurse to take are B, C, and E. B, Urine culture, is important to identify the causative organism of a urinary tract infection. C, Obtaining a provider prescription for antibiotics, is necessary to treat the infection. E, Obtaining a provider prescription for phenazopyridine, can help alleviate urinary discomfort.
Choice A, Vaginal culture, is not relevant to the scenario of a urinary tract infection.
Choice D, Ibuprofen for pain, is not addressing the infection itself. Without a prescription, phenazopyridine should not be administered.
Extract:
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because blowing into the meter as hard and quickly as possible ensures accurate lung function test results. This instruction ensures a consistent and forceful flow of air, which is crucial for reliable readings. Option A is incorrect because the tongue should not be placed on the mouthpiece, as this can affect the accuracy of the test. Option B is incorrect as maintaining a semi-Fowler's position is not necessary for this test. Option C is incorrect because recording the average of the readings is not a step in the actual testing process.