ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.
Question 1 of 5
Which of the following Instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Participate in range-of-motion exercises. This instruction is important to prevent complications such as blood clots and muscle stiffness post-procedure. Range-of-motion exercises help maintain joint flexibility and circulation.
Choice A is incorrect as prolonged bed rest can increase the risk of blood clots.
Choice C is important but not as crucial immediately post-procedure compared to mobilizing joints.
Choice D is a comfort measure and does not have direct implications for post-procedure complications.
Extract:
Question 2 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. In acute glomerulonephritis, there is inflammation of the glomeruli in the kidneys leading to blood in the urine. This is known as hematuria. Polyuria (choice
A) is not typically seen in this condition as the kidneys are not able to effectively filter urine. Hypotension (choice
B) is unlikely as fluid retention and hypertension are more common due to decreased kidney function. Weight loss (choice
C) is not a common finding as the condition often leads to fluid retention.
Therefore, hematuria is the most expected finding in acute glomerulonephritis.
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:
A nurse in an emergency department is caring for a client.
Question 4 of 5
For each potential provider prescription click to specify if the prescription is anticipated or contraindicated for the client.
| Potential Prescription | Anticipated | Contraindicated |
|---|---|---|
| Administer famotidine 20 mg via intermittent IV infusion twice daily. | ||
| insert an indwelling urinary catheter. | ||
| Administer lactated Ringer's 1L via IV bolus. | ||
| Insert a nasogastric tube and maintain low intermittent suction. |
Correct Answer: A,C,D
Rationale: [Explanation: The correct answer is - A,C,D. Administering famotidine helps reduce stomach acid, beneficial for clients with gastric issues. Lactated Ringer's IV bolus helps with fluid resuscitation. Inserting a nasogastric tube can help with decompression or feeding. Inserting an indwelling urinary catheter is not typically provider-initiated unless medically necessary.
Therefore, A, C, and D are anticipated for client care, while B is contraindicated unless specifically indicated.]
Extract:
A nurse in an outpatient orthopedic clinic is caring for the client six weeks following surgical repair of a fractured radius.
Question 5 of 5
Which of the following information provided by the client indicates improvement? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Improvement signs encompass hygiene, nutrition, weight gain, and social interaction.