ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
Question 1 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,E
Rationale: The correct actions for the nurse to take are B, C, and E. B, Urine culture, is important to identify the causative organism of a urinary tract infection. C, Obtaining a provider prescription for antibiotics, is necessary to treat the infection. E, Obtaining a provider prescription for phenazopyridine, can help alleviate urinary discomfort.
Choice A, Vaginal culture, is not relevant to the scenario of a urinary tract infection.
Choice D, Ibuprofen for pain, is not addressing the infection itself. Without a prescription, phenazopyridine should not be administered.
Extract:
A nurse is caring for a client who has a prescription for lactated Ringer's IV 4,080 ml/24 hr.
Question 2 of 5
The nurse should set the IV infusion pump to deliver how many ml/hr to administer half the total volume in the first 8 hr?
Correct Answer: 255
Rationale: Half of 4,080 mL is 2,040 mL; over 8 hours, this equals 255 mL/hr.
Extract:
Question 3 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer:
Rationale:
Correct Answer: B. How to secure the tracheostomy tube with ties at the back of the neck.
Rationale: Securing the tracheostomy tube with ties is crucial to prevent accidental dislodgement and ensure proper placement for oxygenation. This step helps maintain the airway and prevents complications. Teaching this ensures safety and proper care for the client.
Incorrect
Choices:
A: Operating the portable suction machine is important but not the priority for discharge teaching.
C: Changing the nondisposable tracheostomy tube daily is not recommended as it can increase the risk of infection.
D: Changing the tracheostomy dressing using clean technique is essential, but securing the tube takes precedence in discharge teaching.
Extract:
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter.
Question 4 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.
Extract:
A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago.
Question 5 of 5
Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Bradypnea. Bradypnea, or slow breathing, is a critical finding that can indicate respiratory compromise and potentially lead to respiratory failure. It requires immediate attention to prevent further deterioration.
Constipation (
A) is important but not as urgent as addressing a respiratory issue. Sedation (
B) and euphoria (
D) are side effects that may need monitoring but do not pose immediate threats to the patient's health.
In summary, addressing bradypnea is the priority to ensure the patient's respiratory function and prevent a life-threatening situation.