ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is planning teaching for a client and their family about home oxygen therapy.
Question 1 of 5
Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains harsh chemicals that can be harmful if inhaled or absorbed through the skin, especially for clients with compromised health conditions. Applying petroleum jelly (choice
A) may not be recommended as it can trap bacteria and cause infection. Using synthetic fabrics for bedding (choice
B) may not be ideal as natural fibers are more breathable and comfortable. Cleaning equipment with alcohol-based products (choice
C) may not be suitable as it can be irritating to sensitive skin.
Therefore, choice D is the best option for the client's safety and well-being.
Extract:
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because blowing into the meter as hard and quickly as possible ensures accurate lung function test results. This instruction ensures a consistent and forceful flow of air, which is crucial for reliable readings. Option A is incorrect because the tongue should not be placed on the mouthpiece, as this can affect the accuracy of the test. Option B is incorrect as maintaining a semi-Fowler's position is not necessary for this test. Option C is incorrect because recording the average of the readings is not a step in the actual testing process.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration.
Question 3 of 5
Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Bisacodyl 10 mg rectal suppository. Bisacodyl is indicated for immediate relief of constipation as a rectal suppository. It acts directly on the colon to stimulate peristalsis and promote bowel movement. The rectal route ensures faster onset of action compared to oral medications, making it suitable for a patient needing immediate relief. Magnesium hydroxide (
B) is a laxative taken orally, which may not provide quick relief. Famotidine (
C) is for acid reflux, not constipation. Loperamide (
D) is an antidiarrheal agent, not appropriate for constipation.
Extract:
A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform chest percussion and postural drainage at least twice daily. Chest percussion and postural drainage are essential airway clearance techniques for patients with cystic fibrosis to help mobilize and clear mucus from the lungs. Performing these techniques at least twice daily helps to prevent mucus buildup, reduce the risk of infections, and improve lung function. Restricting gluten intake (
B) is not specific to cystic fibrosis management. Administering pancreatic enzymes on an empty stomach (
C) is important for patients with cystic fibrosis to aid in digestion, but it is not directly related to chest physiotherapy. Using a nebulizer after airway clearance therapy (
D) may be beneficial, but the primary focus should be on chest physiotherapy as the initial intervention for mucus clearance.
Extract:
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.