ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is assessing a 2-year-old toddler.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Nontender, protruding abdomen. This finding is expected in a child with kwashiorkor, a form of severe protein-energy malnutrition. The nontender, protruding abdomen is due to fluid accumulation in the abdomen (ascites) and the lack of muscle mass. This is a key characteristic of kwashiorkor. The other choices are incorrect because:
A) Head circumference exceeding chest circumference is not a typical finding in children;
B) Fontanels should be soft and flat in infants, not palpable;
C) Natural loss of deciduous teeth occurs around age 6-12 years, not in infancy.
Extract:
A nurse in an emergency department is caring for a client.
Question 2 of 5
Select the 3 statements the nurse should include in the teaching.
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A is important as vomiting and diarrhea can lead to dehydration. B is crucial for liver health and overall well-being. C is essential for heart health and maintaining a healthy weight. The other choices are incorrect. D can worsen symptoms and interfere with medication. E may not be suitable for certain health conditions and can lead to weight gain. No information is provided for options F and G.
Extract:
A nurse is caring for a client who is receiving penicillin G via intermittent IV piggyback.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to notify the provider if diarrhea develops. This action is important because diarrhea can be a potential side effect of medication, especially antibiotics, and may indicate a serious adverse reaction. It is crucial for the client to inform the provider promptly to prevent complications.
Choice A is incorrect as it refers to a specific administration instruction for a medication, not related to client monitoring.
Choice C is incorrect as it pertains to storage of medication, not client education.
Choice D is incorrect as it focuses on assessing for a specific allergy, not related to ongoing client monitoring.
Extract:
Question 4 of 5
A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture?
Correct Answer: D
Rationale: The correct answer is D: Apply an orthotic to the client's foot. This intervention helps to maintain proper alignment of the foot, preventing contractures that can occur due to prolonged immobility. Placing a pillow under the client's knees (choice
A) is beneficial for reducing pressure on the lower back but does not specifically address foot contractures. Similarly, placing a towel roll under the client's neck (choice
B) is helpful for neck support but does not prevent foot contractures. Aligning a trochanter wedge between the client's legs (choice
C) is aimed at hip alignment and not foot contractures.
Therefore, the most appropriate intervention to prevent foot contractures in an immobile client is applying an orthotic to the client's foot.
Extract:
A nurse is planning care for a client who is scheduled for a thoracentesis.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is crucial because coughing can disrupt the procedure, leading to potential complications. Coughing can cause movement that may interfere with the accuracy of the procedure or cause injury to the client. Positioning the client on the affected side (
A) for 4 hours following the procedure is not necessary and can lead to discomfort. Informing the client that they will be NPO for 6 hours prior to the procedure (
C) may not be relevant depending on the type of procedure. Placing the client in the prone position during the procedure (
D) can be risky and uncomfortable for the client.