ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who is receiving total parenteral nutrition(TPN): The bag has 20 mL remaining to infuse, but a new bag is not readily available.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer dextrose 10% in water. This action is appropriate for treating hypoglycemia, which can be a potential complication of TPN (
Total Parenteral Nutrition) therapy. Administering dextrose 10% in water can help raise the patient's blood sugar levels quickly and effectively.
Choice B is incorrect as lactated Ringers solution does not directly address hypoglycemia.
Choice C is not the best option as slowing the TPN infusion rate may further decrease the patient's blood sugar levels.
Choice D is also incorrect as temporarily discontinuing the TPN infusion may exacerbate the hypoglycemia.
Extract:
A nurse is auscultating for crackles on a client who has pneumonia.
Question 2 of 5
Which of the following anterior chest wall locations should the nurse auscultate?(You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
Correct Answer:
Rationale:
Correct
Answer: D (Second intercostal space, right sternal border)
Rationale: The nurse should auscultate at the second intercostal space, right sternal border to listen to the aortic valve. This location corresponds to the area where the aortic valve can be best heard. The aortic valve is located in the second intercostal space, right sternal border, so auscultating at this spot allows for accurate assessment of the heart sounds in this area. It is essential to auscultate at this specific location to detect any abnormalities or abnormalities in the aortic valve.
Summary of other choices:
- A, B, C, E, F, G: These locations do not correspond to the specific area where the aortic valve is best heard. Auscultating at these locations may not provide clear or accurate heart sounds related to the aortic valve.
Extract:
A nurse Is providing teaching about immunizations to a client who is pregnant.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You can receive the immunization for influenza at any time during your pregnancy. This statement is correct because the influenza vaccine is recommended for pregnant women at any stage of pregnancy to protect both the mother and the unborn baby. It is safe and effective during pregnancy.
Incorrect choices:
A: The immunization for varicella should be given at least 1 month prior to delivery - This is incorrect because the varicella vaccine is not routinely recommended during pregnancy.
B: You can receive the rubella immunization during the third trimester of pregnancy - This is incorrect because the rubella vaccine is contraindicated during pregnancy.
C: The hepatitis B immunization should not be obtained until after you finish breastfeeding - This is incorrect because the hepatitis B vaccine is recommended during pregnancy to prevent transmission to the baby.
Extract:
A nurse is planning teaching for a client and their family about home oxygen therapy.
Question 4 of 5
Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains harsh chemicals that can be harmful if inhaled or absorbed through the skin, especially for clients with compromised health conditions. Applying petroleum jelly (choice
A) may not be recommended as it can trap bacteria and cause infection. Using synthetic fabrics for bedding (choice
B) may not be ideal as natural fibers are more breathable and comfortable. Cleaning equipment with alcohol-based products (choice
C) may not be suitable as it can be irritating to sensitive skin.
Therefore, choice D is the best option for the client's safety and well-being.
Extract:
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because blowing into the meter as hard and quickly as possible ensures accurate lung function test results. This instruction ensures a consistent and forceful flow of air, which is crucial for reliable readings. Option A is incorrect because the tongue should not be placed on the mouthpiece, as this can affect the accuracy of the test. Option B is incorrect as maintaining a semi-Fowler's position is not necessary for this test. Option C is incorrect because recording the average of the readings is not a step in the actual testing process.