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 in an emergency department is assessing an adolescent who has conduct disorder.
Question 2 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.
Extract:
A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago.
Question 3 of 5
Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Bradypnea. Bradypnea, or slow breathing, is a critical finding that can indicate respiratory compromise and potentially lead to respiratory failure. It requires immediate attention to prevent further deterioration.
Constipation (
A) is important but not as urgent as addressing a respiratory issue. Sedation (
B) and euphoria (
D) are side effects that may need monitoring but do not pose immediate threats to the patient's health.
In summary, addressing bradypnea is the priority to ensure the patient's respiratory function and prevent a life-threatening situation.
Extract:
A nurse is planning to teach a client about taking prednisone.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Increase dietary calcium. This instruction is important for a patient likely prescribed with a medication that can deplete calcium levels. Calcium is essential for bone health and overall well-being. Monitoring weight loss (
A) is important but not directly related to the medication's side effects. Taking on an empty stomach (
C) or at bedtime (
D) may be specific to certain medications, but not universally applicable.
Extract:
A nurse is caring for a client who is receiving penicillin G via intermittent IV piggyback.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to notify the provider if diarrhea develops. This action is important because diarrhea can be a potential side effect of medication, especially antibiotics, and may indicate a serious adverse reaction. It is crucial for the client to inform the provider promptly to prevent complications.
Choice A is incorrect as it refers to a specific administration instruction for a medication, not related to client monitoring.
Choice C is incorrect as it pertains to storage of medication, not client education.
Choice D is incorrect as it focuses on assessing for a specific allergy, not related to ongoing client monitoring.