ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is preparing to administer a medication that is available in a glass ampule.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: The nurse should use a filter needle to withdraw the medication. This is the correct action as filter needles help prevent the introduction of particulate matter or impurities into the medication, ensuring patient safety. Using a filter needle also reduces the risk of needlestick injuries and contamination.
Choice B is incorrect as breaking the neck of the ampule towards the body increases the risk of injury due to glass shards flying towards the nurse.
Choice C is incorrect as it violates safe medication administration practices by risking contamination.
Choice D is incorrect as ampules should be disposed of in a sharps container, not the trash can.
Extract:
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain.
Question 2 of 5
The nurse should identity which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D. Herpes zoster is a contraindication for certain treatments because it is a viral infection that can worsen with immunosuppressive therapy. Hypertension, obesity, and hypothyroidism are not direct contraindications for receiving the treatment mentioned. Hypertension can be managed, obesity and hypothyroidism do not directly impact the treatment's efficacy. Herpes zoster, on the other hand, can lead to serious complications if the treatment suppresses the immune system. It is crucial to address active infections before starting immunosuppressive therapy to prevent further complications.
Extract:
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Advance directives can be signed without legal representation. This is correct because advance directives are legal documents that individuals can complete on their own without the need for a lawyer. They allow individuals to specify their healthcare wishes in advance.
Choice A is incorrect as medical care can be initiated regardless of advance directives.
Choice C is incorrect as advance directives must be in writing to be legally valid.
Choice D is incorrect as social workers typically provide support but do not usually offer legal representation.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Choose a vein that is palpable and straight. This is the best action because a palpable and straight vein is easier to access and less likely to cause complications during venipuncture. Selecting a visible vein reduces the risk of accidental puncture of surrounding structures. Elevating the arm (choice
B) can help make the vein more prominent, but it is not the primary action. Applying a tourniquet (choice
C) is important to help visualize the vein but does not ensure the vein is suitable. Selecting the dominant arm (choice
D) is not necessary and may limit the client's mobility.
Extract:
A nurse in an emergency department is assessing an adolescent who has conduct disorder.
Question 5 of 5
Which of the following questions is the priority for the nurse to ask the client?
Correct Answer: D
Rationale: The correct answer is D. The nurse's priority is to assess for any immediate danger or harm to the client. Asking about thoughts of harming oneself is crucial in determining the client's safety. This question helps identify the client's risk of suicide and allows for timely intervention if needed.
Choices A, B, and C focus on different aspects of the client's behavior and relationships, which are important but not as urgent as assessing for suicidal ideation. It is essential to address safety concerns first before exploring other areas.