ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who has end-stage kidney disease.
Question 1 of 5
Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Hypertension is a contraindication to many medical procedures due to the increased risk of complications such as bleeding or cardiovascular events. In this case, performing a procedure on a child with hypertension could pose significant risks to their health. Amputation (
A) is not necessarily a contraindication unless it directly affects the procedure site. Osteoarthritis (
B) may not directly impact the procedure. Primary glaucoma (
D) is not related to the procedure in question.
Extract:
A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis.
Question 2 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:
A nurse is preparing to obtain a health history from a client who is on bedrest.
Question 3 of 5
Which of the following positions should the nurse take to place the client at ease?
Correct Answer: A
Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and rapport. Sitting also conveys a sense of attentiveness and availability for conversation. Standing at the side of the bed (
B) may create a sense of distance. Sitting on the bed next to the client (
C) may invade personal space. Standing at the foot of the bed (
D) can be perceived as intimidating.
Extract:
A nurse is caring for a newborn whose mother was taking methadone during her pregnancy.
Question 4 of 5
Which of the following findings indicates the newborn is experiencing withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Hypertonicity. This finding indicates the newborn is experiencing withdrawal because it is a common symptom of withdrawal from substances such as opioids or benzodiazepines. Hypertonicity refers to increased muscle tone, which can be observed through increased resistance to passive movement. It is a sign of central nervous system hyperirritability, often seen in newborns going through withdrawal. Bulging fontanels (
A) are a sign of increased intracranial pressure. Acrocyanosis (
B) is a normal finding in newborns and is due to immature circulation. Bradycardia (
C) is a slow heart rate, which can be caused by various factors in newborns, not specifically indicative of withdrawal.
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 5 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.