ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is planning care for a client who is scheduled for a thoracentesis.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is crucial because coughing can disrupt the procedure, leading to potential complications. Coughing can cause movement that may interfere with the accuracy of the procedure or cause injury to the client. Positioning the client on the affected side (
A) for 4 hours following the procedure is not necessary and can lead to discomfort. Informing the client that they will be NPO for 6 hours prior to the procedure (
C) may not be relevant depending on the type of procedure. Placing the client in the prone position during the procedure (
D) can be risky and uncomfortable for the client.
Extract:
A nurse is assessing a 2-year-old toddler.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Nontender, protruding abdomen. This finding is expected in a child with kwashiorkor, a form of severe protein-energy malnutrition. The nontender, protruding abdomen is due to fluid accumulation in the abdomen (ascites) and the lack of muscle mass. This is a key characteristic of kwashiorkor. The other choices are incorrect because:
A) Head circumference exceeding chest circumference is not a typical finding in children;
B) Fontanels should be soft and flat in infants, not palpable;
C) Natural loss of deciduous teeth occurs around age 6-12 years, not in infancy.
Extract:
A nurse manager is updating protocols for the use of belt restraints.
Question 3 of 5
Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is crucial to monitor the client's well-being, detect any changes promptly, and ensure the effectiveness of the restraint. Removing the restraint every 4 hours (choice
A) can compromise the client's safety and defeat the purpose of using restraints. Requesting a PRN restraint prescription for aggressive clients (choice
C) may lead to overuse of restraints without proper assessment. Attaching restraints to the bed's side rails (choice
D) can increase the risk of injury and is not recommended. Regular documentation is essential in ensuring the client's safety and well-being.
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 4 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct answer is A: The estimated blood loss was 250 milliliters. This statement is crucial in a hand-off report as it provides important information about the client's condition post-procedure. It helps alert the receiving nurse to any potential complications or the need for further monitoring.
Statement B is incorrect as the client's position on the board of directors is not relevant to the client's immediate care needs and does not provide useful clinical information. Statement C, the number of sponges used, is also irrelevant to the client's immediate condition and does not impact the client's ongoing care.
Statement D, mentioning intubation without complications, could be important in certain contexts, but in this scenario, information about blood loss is more critical for the receiving nurse to be aware of.
Extract:
A nurse in an emergency department is caring for a client who has a closed head injury.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's Glasgow Coma Scale (GCS) score. This is the priority action as it helps assess the client's level of consciousness and neurological status quickly. It guides further interventions and treatment decisions. Inserting an indwelling urinary catheter (
B) or administering mannitol IV bolus (
C) may be needed but assessing neurological status comes first. Preparing for an MRI (
D) is important but not the initial step.