ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client in the medical surgical unit.
Question 1 of 5
Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.
Correct Answer: D,E
Rationale: Proper hygiene and regular assessment of catheter necessity reduce UTI risks.
Extract:
A nurse is caring for a client who has a prescription for a peripheral IV catheter.
Question 2 of 5
After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?
Correct Answer: C
Rationale: The correct answer is C: Advance the catheter into the vein. After confirming blood return in the flashback chamber, advancing the catheter ensures proper placement within the vein for medication delivery. Retracting the stylet (
B) prematurely can displace the catheter. Flushing with saline (
A) before confirming placement is risky. Releasing the tourniquet (
D) is done after securing catheter placement.
Extract:
Question 3 of 5
A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Document the client's behavior prior to being placed in seclusion. This is important for legal and clinical reasons as it provides a clear record of the client's behavior leading up to seclusion, ensuring transparency and accountability. Assessing behavior once every hour (choice
B) may not be sufficient for monitoring the client's condition in seclusion. Offering fluids every 2 hours (choice
C) is important for hydration but not directly related to seclusion. Discussing inappropriate behavior with the client (choice
D) may escalate the situation and is not recommended in this scenario.
Extract:
A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min.
Question 4 of 5
The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
Correct Answer: D
Rationale: Maternal hypoglycemia can lead to fetal bradycardia.
Extract:
A nurse is caring for a client who has been admitted to the hospital. Nurses' Notes 0900: The client reports experiencing a loss of appetite and shortness of breath within the last month or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol uncontrollably. The client is alert but disoriented to time. Their abdomen is bloated and they have redness of the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow. 1230: Administered antacids, spironolactone, and colchicine per provider's prescription. Laboratory Results 1200: Hgb 9.5 g/dL(14 ta 18 g/dL) Hct 38%(42% to 52%) Bilirubin 5,3 mg/dL(0.3 ta 1.0 mg/dL) Creatinine 1.8 mg/di.(0,6 to 1.3 mg/dU) Platelet count 100,000/mm\*(150,000 to 400,000/mmn) 1800: Alanine aminotransferase ALT 51 units/L(4 to 36 units/L) Aspartate aminotransferase AST 48 units/L(0 to 35 units/L) Alkaline phosphate ALP 151 units/L(30 to 120 units/L) Blood total protein 15 g/di.(6.4 to 8.3 g/dL)
Question 5 of 5
Select the 5 actions the nurse should take.
Correct Answer: A,B,C,E,F,G
Rationale: The correct actions the nurse should take are A, B, C, E, F, and G. A: Providing rest periods promotes healing. B: Restricting sodium intake is crucial for certain health conditions. C: Avoiding soap and alcohol-based lotions can prevent skin irritation. E: Placing the client under contact isolation is necessary to prevent the spread of infection. F: Instructing the client to avoid blowing their nose forcefully prevents injury. G: Assessing the client's level of orientation is essential for monitoring their mental status. Other choices are incorrect because a low-carbohydrate diet (
D) is not mentioned, and it is not a priority action in this scenario.