ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 1 of 5
Which of the following actions should the nurse Include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B because acknowledging the client's emotions can help de-escalate the situation. By stating, "You seem to be very upset," the nurse shows empathy and understanding, which can help the client feel heard and validated. Using a face shield, engaging the panic alarm, or initiating seclusion protocol are not appropriate actions in this scenario as they do not address the client's emotional state or help in calming them down. Face shield and panic alarm are more related to safety precautions, while seclusion protocol should only be considered as a last resort for safety reasons.
Therefore, choice B is the most appropriate action for interacting with a client who is aggravated, pacing, and speaking loudly.
Extract:
Question 2 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A. When setting up a sterile field, it is essential to maintain sterility. By removing the cap and placing it sterile-side up on a clean surface, the nurse ensures that the inside of the cap, which will come into contact with the sterile solution, remains uncontaminated. Placing the cap sterile-side up prevents any potential contaminants from coming into contact with the solution. This practice follows aseptic technique guidelines to prevent the introduction of pathogens.
Choices B, C, and D are incorrect because they do not address the key principle of maintaining sterility. Placing sterile gauze over spilled solution (
B) can introduce contaminants to the field, holding the bottle in the center (
C) does not prevent contamination, and the orientation of the label (
D) does not affect sterility.
Extract:
A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible.
Question 3 of 5
Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Provide humidification of the room air. Humidification helps to moisturize the air, making it easier for the client to breathe, especially if they have dry mouth or throat. This can improve comfort and prevent irritation.
Choice A is incorrect because alcohol-based mouthwash can further dry out the mouth.
Choice C is incorrect as saltine crackers can exacerbate dry mouth.
Choice D is incorrect as esophageal speech is not related to addressing dry mouth.
Extract:
Question 4 of 5
A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Explain to the child what will happen when the abuse is reported.
Rationale: It is crucial for the nurse to inform the child about the reporting process to ensure transparency and build trust. This empowers the child and helps them understand the next steps. It also promotes their involvement in decision-making regarding their well-being. By explaining the process, the nurse can offer emotional support and reassurance to the child. This approach respects the child's autonomy and dignity.
Incorrect
Choices:
A: Using leading statements can influence the child's responses and compromise the accuracy of information obtained.
B: Having multiple nurses present may intimidate the child and breach confidentiality.
D: Reassuring the child that no one will be told about the abuse may perpetuate feelings of isolation and hinder the necessary intervention.
Extract:
A nurse is assisting with food selection for a client who follows kosher dietary traditions.
Question 5 of 5
Which of the following food choices should the nurse include on the client's food tray?
Correct Answer: B
Rationale: Kosher diets exclude pork and shellfish.