ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter.
Question 1 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:
Question 2 of 5
A nurse is caring for a client who requires nasotracheal suctioning. Identify the sequence the nurse should follow to perform suctioning.(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,D,E,A,B
Rationale:
To perform nasotracheal suctioning correctly, the nurse should follow these steps:
1. Dan sterile gloves (
C): Ensures aseptic technique to prevent infection.
2. Insert the catheter during the client's inspiration (
D): Reduces the risk of hypoxia and trauma.
3. Turn on the suction and set the pressure (E): Prepares the equipment for suctioning.
4. Apply suction while rotating the catheter (
A): Maximizes removal of secretions.
5. Rinse the catheter to remove secretions (
B): Ensures cleanliness of the catheter for next use.
Other choices are incorrect:
- F and G are not applicable in this sequence as they do not contribute to the safe and effective performance of nasotracheal suctioning.
Question 3 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular events. Hypertension can be exacerbated by hormonal contraceptives, leading to serious complications like stroke or heart attack. It is crucial for women with hypertension to avoid estrogen-containing contraceptives.
B: Fibromyalgia, C: Renal calculi, D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. Fibromyalgia is a chronic pain disorder, renal calculi are kidney stones, and fibrocystic breast disease is a benign breast condition. These conditions do not impact the safety or efficacy of hormonal contraceptives.
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 4 of 5
Which of the following actions should the nurse Include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B because acknowledging the client's emotions can help de-escalate the situation. By stating, "You seem to be very upset," the nurse shows empathy and understanding, which can help the client feel heard and validated. Using a face shield, engaging the panic alarm, or initiating seclusion protocol are not appropriate actions in this scenario as they do not address the client's emotional state or help in calming them down. Face shield and panic alarm are more related to safety precautions, while seclusion protocol should only be considered as a last resort for safety reasons.
Therefore, choice B is the most appropriate action for interacting with a client who is aggravated, pacing, and speaking loudly.
Extract:
A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg.
Question 5 of 5
Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: Orthostatic hypotension is a potential adverse effect of valsartan overdose.