ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A charge nurse is observing a conflict between two nurses who both insist that the charge nurse favors the other when making assignments.
Question 1 of 5
Which of the following conflict-resolution strategies should the charge nurse use?
Correct Answer: A
Rationale: The correct answer is A: Encourage collaboration between the two nurses when making the assignments. This strategy fosters open communication and teamwork, leading to a mutually agreed-upon solution. It promotes a sense of ownership and shared responsibility, enhancing job satisfaction and reducing conflict.
Choice B may not address the underlying issues causing conflict.
Choice C is vague and lacks a specific action plan.
Choice D avoids the conflict rather than resolving it.
Extract:
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis.
Question 2 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 reviewing the laboratory data of a client who received 2 units of packed RBCs.
Question 3 of 5
Which of the following laboratory findings should the nurse expect following the transfusion?
Correct Answer: B
Rationale: The correct answer is B: Increased Hct. Following a transfusion, the nurse should expect an increase in hematocrit (Hct) levels due to the addition of packed red blood cells. This will result in an increase in the concentration of red blood cells in the blood, leading to a higher Hct value. The other choices are incorrect as:
A) Increased platelets are not typically affected by a red blood cell transfusion,
C) Decreased Hgb would not be expected as the purpose of the transfusion is to increase hemoglobin levels, and
D) Decreased WBC count is unrelated to a red blood cell transfusion.
Extract:
A nurse is reviewing the medical records of four clients.
Question 4 of 5
The nurse should identify that which of the following client findings requires follow-up care?
Correct Answer: C
Rationale: The correct answer is C. A client taking warfarin with an INR of 1.8 requires follow-up care as the INR is subtherapeutic, increasing the risk of clot formation. A therapeutic INR for clients on warfarin is typically between 2-3. Options A, B, and D do not require immediate follow-up care. A potassium level of 3.6 mEq/L is within the normal range. Sodium phosphate for a colonoscopy preparation is appropriate. An induration after a Mantoux test is an expected finding.
Extract:
A nurse is caring for a client who has a prescription for a peripheral IV catheter.
Question 5 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.