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 caring for a client who has been admitted to the hospital. Nurses' Notes 0900: The client reports experiencing a loss of appetite and shortness of breath within the last month or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol uncontrollably. The client is alert but disoriented to time. Their abdomen is bloated and they have redness of the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow. 1230: Administered antacids, spironolactone, and colchicine per provider's prescription. Laboratory Results 1200: Hgb 9.5 g/dL(14 ta 18 g/dL) Hct 38%(42% to 52%) Bilirubin 5,3 mg/dL(0.3 ta 1.0 mg/dL) Creatinine 1.8 mg/di.(0,6 to 1.3 mg/dU) Platelet count 100,000/mm\*(150,000 to 400,000/mmn) 1800: Alanine aminotransferase ALT 51 units/L(4 to 36 units/L) Aspartate aminotransferase AST 48 units/L(0 to 35 units/L) Alkaline phosphate ALP 151 units/L(30 to 120 units/L) Blood total protein 15 g/di.(6.4 to 8.3 g/dL)
Question 2 of 5
Select the 5 actions the nurse should take.
Correct Answer: A,B,C,E,F,G
Rationale: The correct actions the nurse should take are A, B, C, E, F, and G. A: Providing rest periods promotes healing. B: Restricting sodium intake is crucial for certain health conditions. C: Avoiding soap and alcohol-based lotions can prevent skin irritation. E: Placing the client under contact isolation is necessary to prevent the spread of infection. F: Instructing the client to avoid blowing their nose forcefully prevents injury. G: Assessing the client's level of orientation is essential for monitoring their mental status. Other choices are incorrect because a low-carbohydrate diet (
D) is not mentioned, and it is not a priority action in this scenario.
Extract:
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing.
Question 3 of 5
Which of the following examples should the nurse include in the teaching as an example of malpractice?
Correct Answer: C
Rationale: The correct answer is C because leaving a nasogastric tube clamped after administering oral medication is an example of malpractice. This action can lead to obstruction and potential harm to the client. Documenting communication (
A) is a standard practice to ensure accurate record-keeping. Placing a yellow bracelet (
B) is a safety measure. Administering potassium via IV bolus (
D) is within the scope of practice if done correctly.
Extract:
Question 4 of 5
A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?
Correct Answer: B
Rationale: The correct answer is B: Weight Loss. Furosemide is a loop diuretic that helps the body excrete excess fluid and sodium through increased urine output.
Therefore, weight loss would indicate that the medication has been effective in reducing the client's fluid volume excess. Increased blood pressure (
A) would not be an expected finding as furosemide typically helps lower blood pressure. Decreased inflammation (
C) and decreased pain (
D) are not directly related to the action of furosemide as a diuretic.
Extract:
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "We can provide a copy of your records, but the therapist's notes are not included." This answer respects the patient's request for records while also maintaining confidentiality of the therapist's notes. Offering a copy of the records shows transparency and willingness to provide information to the patient.
Choices A, C, and D are incorrect because they do not address the patient's request appropriately - A assumes dissatisfaction, C questions the patient's motive, and D dismisses the request without explanation.