ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is reviewing the client's electronic medical record.
Question 1 of 5
Which of the following findings require follow up? Select all that apply.
Correct Answer: A,B,D,E
Rationale: These findings suggest infection and respiratory distress, requiring immediate follow-up.
Extract:
A nurse is assessing a client who has an abdominal incision.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Partial wound separation indicates potential complications needing attention.
Extract:
A nurse in an emergency department is caring for a client.
Question 3 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:
A nurse is planning care for a toddler who has epiglottitis.
Question 4 of 5
Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: Frequent swallowing indicates airway obstruction risks.
Extract:
Question 5 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A. When setting up a sterile field, it is essential to maintain sterility. By removing the cap and placing it sterile-side up on a clean surface, the nurse ensures that the inside of the cap, which will come into contact with the sterile solution, remains uncontaminated. Placing the cap sterile-side up prevents any potential contaminants from coming into contact with the solution. This practice follows aseptic technique guidelines to prevent the introduction of pathogens.
Choices B, C, and D are incorrect because they do not address the key principle of maintaining sterility. Placing sterile gauze over spilled solution (
B) can introduce contaminants to the field, holding the bottle in the center (
C) does not prevent contamination, and the orientation of the label (
D) does not affect sterility.