ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 1 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 is caring for a client.
Question 2 of 5
Select the 5 findings that require immediate follow-up
Correct Answer: A,B,D,E,H
Rationale: The correct choices for immediate follow-up are A, B, D, E, and H. Stool results (
A) are crucial for detecting gastrointestinal issues. Hemoglobin and hematocrit (
B) levels indicate blood health. Heart rate (
D) reflects cardiovascular function. Current medications (E) help assess potential drug interactions. WIC count (H) is essential for monitoring infection. Respiratory rate (
C) and temperature (F) are important but not as urgent.
Extract:
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy.
Question 3 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 providing preoperative teaching to a client about promoting circulation during the postoperative period.
Question 4 of 5
Which of the following Instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Participate in range-of-motion exercises. This instruction is important to prevent complications such as blood clots and muscle stiffness post-procedure. Range-of-motion exercises help maintain joint flexibility and circulation.
Choice A is incorrect as prolonged bed rest can increase the risk of blood clots.
Choice C is important but not as crucial immediately post-procedure compared to mobilizing joints.
Choice D is a comfort measure and does not have direct implications for post-procedure complications.
Extract:
A nurse reviews the entries in the medical record.
Question 5 of 5
For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Potential Prescription | Anticipated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 91/60 mm. Hg | ||
| Obtain the first unit of packed RBCS from the blood bank. | ||
| Start an IV bolus of lactated Ringers solution. |
Correct Answer: A,B,D
Rationale: [A: 1, B: 1, C: 0, D: 1, E: 0, F: , G: ]
- A: Documenting blood product transfusion is crucial for legal and tracking purposes.
- B: Staying with the client ensures immediate response to any adverse reactions.
- C: Titration of infusion rate for BP is not within nursing scope without physician order.
- D: Obtaining packed RBCs precedes transfusion to verify compatibility.
- E: Starting IV bolus of LR is not indicated as it is unrelated to the transfusion process.