ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P.R interval of 0.35 seconds.
Question 1 of 5
Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. This dysrhythmia is characterized by a delay in conduction at the atrioventricular node, causing a prolonged PR interval (>0.20 sec) on ECG. It is a benign condition and does not typically require treatment unless symptomatic.
Choices B and D are more serious dysrhythmias that have different ECG patterns and clinical implications. Complete heart block (
Choice
B) presents with a lack of conduction between the atria and ventricles, leading to a slow ventricular rate. Atrial fibrillation (
Choice
D) is characterized by rapid, irregular atrial depolarizations without effective atrial contractions. Premature atrial complexes (
Choice
C) are early ectopic atrial beats that appear as abnormal P waves on ECG but do not cause significant conduction delays.
Extract:
A staff nurse is observing a newly licensed nurse suction a client's tracheostomy.
Question 2 of 5
Which of the following actions by the newly licensed nurse requires intervention by the staff nurse?
Correct Answer: C
Rationale: Suctioning longer than 10-15 seconds risks hypoxia.
Extract:
Question 3 of 5
A nurse is admitting a client who has schizophrenia. The client state nurse to state?"I'm hearing voices. Which of the following responses is the priority for the nurse to state"
Correct Answer: A
Rationale: The correct answer is A: "What are the voices telling you?" This response shows active listening and encourages the client to express their thoughts, helping the nurse assess the content and potential danger of the voices.
Choice B dismisses the client's experience, choice C focuses on medication compliance rather than immediate safety, and choice D is relevant but does not address the immediate concern.
Extract:
A nurse in an emergency department is caring for a client.
Question 4 of 5
Select the 5 findings the nurse should plan to include in the report.
Correct Answer: A,C,D,E,F
Rationale: These findings highlight potential abuse and neglect indicators.
Extract:
Question 5 of 5
A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Sunken fontanels and dry mucous membranes. These findings indicate severe dehydration in the infant, which is a critical condition that requires immediate intervention. Sunken fontanels suggest significant fluid loss, while dry mucous membranes are indicative of dehydration. Reporting these findings to the provider is crucial for prompt treatment to prevent further complications.
Incorrect Answer A: Pale and a 24 hr fluid deficit of 30 ml. Pale skin alone may not indicate severe dehydration, and a 24-hour fluid deficit of 30 ml is relatively small and not alarming.
Incorrect Answer C: Decreased appetite and irritability. These are common symptoms of gastroenteritis and may not necessarily indicate a need for immediate reporting to the provider.
Incorrect Answer D: Temperature 38° C and pulse rate 124/min. These vital signs are elevated but do not directly indicate severe dehydration requiring immediate reporting.