ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in an emergency department is caring for a client who has a closed head injury.
Question 1 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.
Extract:
Question 2 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it reflects an understanding of the concept of supply and demand in breastfeeding. The statement acknowledges that the more the baby suckles, the more milk the parent will produce. This aligns with the principle that frequent and effective nursing stimulates milk production.
Choice A is incorrect because it suggests limiting nursing time, which can hinder milk production.
Choice B is incorrect as manual expression can actually help increase milk supply.
Choice C is incorrect as it is recommended to offer both breasts during a feeding session to ensure the baby receives enough hindmilk.
Extract:
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because the nurse should offer to review information to assist the patient in selecting a safe alternative practitioner, showing support and guidance.
Choice B is incorrect because it assumes the provider will inform the patient of therapies, not necessarily the nurse.
Choice C is incorrect as it lacks professional guidance and may lead to unsafe choices.
Choice D is incorrect as it suggests the patient can find remedies independently without professional advice.
Extract:
Question 4 of 5
Which of the following findings require follow-up?
Correct Answer: E,F,G
Rationale: The correct answers are E, F, and G because they indicate potential complications during pregnancy.
E: Lower back pain and pinkish vaginal discharge can be signs of preterm labor or placental issues, requiring immediate follow-up.
F: Uterine contractions every 8 minutes, strong palpation, and duration 30 seconds suggest active labor, needing monitoring for progression.
G: Fetal heart rate (FHR) baseline of 145 with minimal variability may indicate fetal distress, necessitating further assessment.
Other choices are routine findings or do not pose immediate risks, such as A (normal obstetric history), B (routine lab tests), C (Rh+ blood type is common), and D (history of preterm birth but no current concerns).
Extract:
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Advance directives can be signed without legal representation. This is correct because advance directives are legal documents that individuals can complete on their own without the need for a lawyer. They allow individuals to specify their healthcare wishes in advance.
Choice A is incorrect as medical care can be initiated regardless of advance directives.
Choice C is incorrect as advance directives must be in writing to be legally valid.
Choice D is incorrect as social workers typically provide support but do not usually offer legal representation.