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 in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes.
Question 2 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "We can provide a copy of your records, but the therapist's notes are not included." This answer respects the patient's request for records while also maintaining confidentiality of the therapist's notes. Offering a copy of the records shows transparency and willingness to provide information to the patient.
Choices A, C, and D are incorrect because they do not address the patient's request appropriately - A assumes dissatisfaction, C questions the patient's motive, and D dismisses the request without explanation.
Extract:
A nurse in an emergency department is caring for a client.
Question 3 of 5
The nurse should first address the client’s-------followed by the client’s-----
Correct Answer: E,A
Rationale: Addressing pain and safety prioritizes client needs.
Extract:
Question 4 of 5
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the cient's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?
Correct Answer: C
Rationale: The correct answer is C: INR. The International Normalized Ratio (INR) is used to monitor and adjust the dosage of warfarin, an anticoagulant medication. A nurse needs to report the INR level to the provider to determine if the current dosage of warfarin is effective in preventing blood clots. A higher INR indicates a longer time it takes for blood to clot, meaning the warfarin dosage might need adjustment.
Incorrect choices:
A: Fibrinogen level - Fibrinogen is a protein involved in blood clotting but is not specific for monitoring warfarin therapy.
B: aPTT - Activated Partial Thromboplastin Time (aPTT) is used to monitor heparin therapy, not warfarin.
D: Platelet count - Platelet count measures the number of platelets in the blood and is not directly related to warfarin therapy.
Overall, the INR is the most
Extract:
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome.
Question 5 of 5
Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: Minimizing noise and stimuli helps to reduce symptoms of neonatal abstinence syndrome.