ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs.
Question 1 of 5
Which of the following laboratory findings should the nurse expect following the transfusion?
Correct Answer: B
Rationale: The correct answer is B: Increased Hct. Following a transfusion, the nurse should expect an increase in hematocrit (Hct) levels due to the addition of packed red blood cells. This will result in an increase in the concentration of red blood cells in the blood, leading to a higher Hct value. The other choices are incorrect as:
A) Increased platelets are not typically affected by a red blood cell transfusion,
C) Decreased Hgb would not be expected as the purpose of the transfusion is to increase hemoglobin levels, and
D) Decreased WBC count is unrelated to a red blood cell transfusion.
Extract:
A nurse is reviewing the medical records of four clients.
Question 2 of 5
The nurse should identify that which of the following client findings requires follow-up care?
Correct Answer: C
Rationale: The correct answer is C. A client taking warfarin with an INR of 1.8 requires follow-up care as the INR is subtherapeutic, increasing the risk of clot formation. A therapeutic INR for clients on warfarin is typically between 2-3. Options A, B, and D do not require immediate follow-up care. A potassium level of 3.6 mEq/L is within the normal range. Sodium phosphate for a colonoscopy preparation is appropriate. An induration after a Mantoux test is an expected finding.
Extract:
A nurse is caring for a client who has a prescription for a peripheral IV catheter.
Question 3 of 5
After puncturing the skin with the vascular access device and noting a blood return in the flashback chamber, which of the following actions should the nurse perform next?
Correct Answer: C
Rationale: The correct answer is C: Advance the catheter into the vein. After confirming blood return in the flashback chamber, advancing the catheter ensures proper placement within the vein for medication delivery. Retracting the stylet (
B) prematurely can displace the catheter. Flushing with saline (
A) before confirming placement is risky. Releasing the tourniquet (
D) is done after securing catheter placement.
Extract:
A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.
Question 4 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:
A nurse is teaching a client who has chronic pain about avoiding constipation from opioid medications.
Question 5 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Increase exercise activity. This is important for promoting regular bowel movements and overall gastrointestinal health. Exercise helps stimulate the digestive system and aids in relieving constipation. Taking mineral oil (choice
A) can interfere with nutrient absorption and is not recommended for long-term use. Decreasing insoluble fiber intake (choice
B) can worsen constipation as fiber helps promote bowel regularity. Drinking 1.5 L of fluids each day (choice
C) is important for hydration but alone may not be sufficient to improve bowel function. Increasing exercise activity (choice
D) is the most effective way to promote healthy digestion and prevent constipation.