ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse manager is updating protocols for the use of belt restraints.
Question 1 of 5
Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is crucial to monitor the client's well-being, detect any changes promptly, and ensure the effectiveness of the restraint. Removing the restraint every 4 hours (choice
A) can compromise the client's safety and defeat the purpose of using restraints. Requesting a PRN restraint prescription for aggressive clients (choice
C) may lead to overuse of restraints without proper assessment. Attaching restraints to the bed's side rails (choice
D) can increase the risk of injury and is not recommended. Regular documentation is essential in ensuring the client's safety and well-being.
Extract:
Question 2 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 in an emergency department is caring for a client.
Question 3 of 5
For each assessment finding, click to specify if the finding is an indication of physical maltreatment, neglect, or financial maltreatment.
| Finding | physical maltreatment | neglect | financial maltreatment |
|---|---|---|---|
| Client reports having little food in the house. | |||
| Client has bruises in various stages of healing. | |||
| Client wears dirty clothing | |||
| Client has no access to bank accounts |
Correct Answer: A,B,C,D
Rationale: These findings suggest multiple forms of maltreatment.
Extract:
Question 4 of 5
A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wear clean cotton socks every day. This instruction is crucial for diabetic foot care as it helps prevent moisture buildup, reduces the risk of infections, and maintains proper foot hygiene. Clean cotton socks minimize friction, provide cushioning, and promote good circulation.
Rationale for other choices:
A: Soaking feet twice daily can lead to dry skin, increasing the risk of skin breakdown and infection.
B: Rounding the edges of toenails can cause injury and increase the risk of ingrown toenails.
C: Using moisturizing lotion between the toes can create a moist environment, promoting fungal growth and skin maceration.
Extract:
A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Measuring residuals prevents aspiration risks.