ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis.
Question 1 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:
A nurse in an acute care mental health facility is participating in a medication education group.
Question 2 of 5
Which of the following actions should the nurse expect from the leader during the session?
Correct Answer: A
Rationale: The correct answer is A. The leader should allow the group to discuss whatever they would like regarding their medications to encourage active participation and engagement. This approach promotes a patient-centered discussion, empowers group members to share their experiences, concerns, and questions, and fosters a supportive and collaborative learning environment. This helps to address individual needs and promote a deeper understanding of medication management.
Choice B is incorrect because it inhibits open communication and stifles group participation.
Choice C is incorrect as it may not address the specific needs of the group and may limit the discussion to only popular topics.
Choice D is incorrect as it is a passive approach and does not promote active engagement or address individual concerns.
Extract:
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Position the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate. This is the correct action because placing the ultrasound stethoscope above the symphysis pubis allows for optimal detection of the fetal heart rate. This location is where the fetal heart sounds are best heard due to the proximity to the fetal heart. Placing the stethoscope in this location ensures accurate assessment of the fetal heart rate.
Choice A is incorrect because placing the client in a side-lying position is not necessary for assessing the fetal heart rate with an ultrasound stethoscope.
Choice B is incorrect because measuring fundal height is not relevant to assessing the fetal heart rate.
Choice D is incorrect because Leopold maneuvers are used to determine fetal position and presentation, not to assess the fetal heart rate.
Extract:
A nurse is teaching a client who has atrial fibrillation and is to start taking dabigatran.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because keeping medication in the original container ensures proper identification, dosage, and expiration monitoring.
Choice B is incorrect as replacing unused medication every 6 months may lead to waste.
Choice C is incorrect as not all medications should be stored in the refrigerator.
Choice D is incorrect as crushing medication may alter its effectiveness or cause harm. It is important for the client to understand the importance of following specific storage instructions provided with the medication, making choice A the most appropriate response.
Extract:
A charge nurse is observing a conflict between two nurses who both insist that the charge nurse favors the other when making assignments.
Question 5 of 5
Which of the following conflict-resolution strategies should the charge nurse use?
Correct Answer: A
Rationale: The correct answer is A: Encourage collaboration between the two nurses when making the assignments. This strategy fosters open communication and teamwork, leading to a mutually agreed-upon solution. It promotes a sense of ownership and shared responsibility, enhancing job satisfaction and reducing conflict.
Choice B may not address the underlying issues causing conflict.
Choice C is vague and lacks a specific action plan.
Choice D avoids the conflict rather than resolving it.