ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis.
Question 1 of 5
Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedural weight. This is the most appropriate action to evaluate the effectiveness of the procedure because changes in weight can indicate fluid retention or loss, which are common outcomes of many procedures. This comparison helps assess if the procedure had the desired effect on the client's fluid status.
Examine for leakage at the site of the procedure (
A) is not the best action to evaluate the procedure's effectiveness as leakage may not always correlate with the overall success of the procedure. Confirming that the client is able to urinate (
C) is important but may not directly indicate the effectiveness of the procedure. Checking the client's serum albumin levels (
D) is relevant for assessing nutritional status but may not directly evaluate the procedure's effectiveness.
Extract:
A nurse is assessing a client who is experiencing hypovolemia.
Question 2 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Dizziness reflects reduced circulating volume.
Extract:
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis.
Question 3 of 5
Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedural weight. This is the most appropriate action to evaluate the effectiveness of the procedure because changes in weight can indicate fluid retention or loss, which are common outcomes of many procedures. This comparison helps assess if the procedure had the desired effect on the client's fluid status.
Examine for leakage at the site of the procedure (
A) is not the best action to evaluate the procedure's effectiveness as leakage may not always correlate with the overall success of the procedure. Confirming that the client is able to urinate (
C) is important but may not directly indicate the effectiveness of the procedure. Checking the client's serum albumin levels (
D) is relevant for assessing nutritional status but may not directly evaluate the procedure's effectiveness.
Extract:
Question 4 of 5
The client asks the nurse if the medication can be given 2 hr. earlier. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it adheres to safe medication administration practices. The nurse should explain to the client that there is a window of up to 2 hours after the usual schedule time to administer the medication safely. This ensures that the medication remains effective while also preventing any potential harm from giving it too early or too late.
Choice A is incorrect because starting the medication 30 minutes earlier may not fall within the safe administration window.
Choice B is incorrect because adjusting the time solely based on convenience may compromise the medication's effectiveness.
Choice C is incorrect because infusing the medication at a faster rate could lead to adverse effects.
Extract:
A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform chest percussion and postural drainage at least twice daily. Chest percussion and postural drainage are essential airway clearance techniques for patients with cystic fibrosis to help mobilize and clear mucus from the lungs. Performing these techniques at least twice daily helps to prevent mucus buildup, reduce the risk of infections, and improve lung function. Restricting gluten intake (
B) is not specific to cystic fibrosis management. Administering pancreatic enzymes on an empty stomach (
C) is important for patients with cystic fibrosis to aid in digestion, but it is not directly related to chest physiotherapy. Using a nebulizer after airway clearance therapy (
D) may be beneficial, but the primary focus should be on chest physiotherapy as the initial intervention for mucus clearance.