ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.
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 teaching a client who has chronic pain about avoiding constipation from opioid medications.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase exercise activity. This is important for promoting regular bowel movements and overall gastrointestinal health. Exercise helps stimulate the digestive system and aids in relieving constipation. Taking mineral oil (choice
A) can interfere with nutrient absorption and is not recommended for long-term use. Decreasing insoluble fiber intake (choice
B) can worsen constipation as fiber helps promote bowel regularity. Drinking 1.5 L of fluids each day (choice
C) is important for hydration but alone may not be sufficient to improve bowel function. Increasing exercise activity (choice
D) is the most effective way to promote healthy digestion and prevent constipation.
Extract:
A nurse in an emergency department is caring for a client.
Question 4 of 5
Select the 3 statements the nurse should include in the teaching.
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A is important as vomiting and diarrhea can lead to dehydration. B is crucial for liver health and overall well-being. C is essential for heart health and maintaining a healthy weight. The other choices are incorrect. D can worsen symptoms and interfere with medication. E may not be suitable for certain health conditions and can lead to weight gain. No information is provided for options F and G.
Extract:
Question 5 of 5
A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the client's ability to help with repositioning. This is crucial as it assesses the client's capability and involvement in the process, promoting independence and preventing complications.
Choice B is incorrect as assistive devices may be necessary for safety.
Choice C is incorrect as raising side rails can limit access and may not be needed.
Choice D is incorrect as discussing preferences is important but not directly related to repositioning.