ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in an emergency department is caring for a client following a motor-vehicle crash.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: The client is oriented times three. This indicates that the client is alert and aware of person, place, and time. This finding is crucial in assessing the client's mental status and cognitive function. Opening eyes to sound (
B) is a basic response but does not indicate orientation. Inability to obey commands (
C) suggests altered mental status. Withdrawing from pain (
D) may indicate a physical reflex rather than cognitive function. Overall, being oriented times three is the most comprehensive assessment of mental alertness and cognitive function.
Extract:
A nurse is positioning a client for a cesarean birth.
Question 2 of 5
To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Hip wedges optimize maternal blood flow.
Extract:
A nurse is caring for a client who has a spinal cord injury.
Question 3 of 5
For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.
| Potential Nursing Action | Anticipated | Contraindicated |
|---|---|---|
| Perform suctioning | ||
| Assess for urinary retention. | ||
| Assess blood pressure every 15 min | ||
| Withhold pain medication for headache until other manifestations resolve. | ||
| Place client in supine position | ||
| Administer nifedipine. |
Correct Answer:
Rationale: Rationales provided within the question context.
Extract:
Question 4 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 is caring for a newborn whose mother was taking methadone during her pregnancy.
Question 5 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.