ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in an emergency department is assessing an adolescent who has conduct disorder.
Question 1 of 5
Which of the following questions is the priority for the nurse to ask the client?
Correct Answer: D
Rationale: The correct answer is D. The nurse's priority is to assess for any immediate danger or harm to the client. Asking about thoughts of harming oneself is crucial in determining the client's safety. This question helps identify the client's risk of suicide and allows for timely intervention if needed.
Choices A, B, and C focus on different aspects of the client's behavior and relationships, which are important but not as urgent as assessing for suicidal ideation. It is essential to address safety concerns first before exploring other areas.
Extract:
A nurse is caring for a client who has experienced a stroke and is moving in with their adult child.
Question 2 of 5
Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?
Correct Answer: A
Rationale: Boundaries foster healthy family dynamics during role adjustments.
Extract:
A nurse in an emergency department is caring for a client who has a closed head injury.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine the client's Glasgow Coma Scale (GCS) score. This is the priority action as it helps assess the client's level of consciousness and neurological status quickly. It guides further interventions and treatment decisions. Inserting an indwelling urinary catheter (
B) or administering mannitol IV bolus (
C) may be needed but assessing neurological status comes first. Preparing for an MRI (
D) is important but not the initial step.
Extract:
Question 4 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A. When setting up a sterile field, it is essential to maintain sterility. By removing the cap and placing it sterile-side up on a clean surface, the nurse ensures that the inside of the cap, which will come into contact with the sterile solution, remains uncontaminated. Placing the cap sterile-side up prevents any potential contaminants from coming into contact with the solution. This practice follows aseptic technique guidelines to prevent the introduction of pathogens.
Choices B, C, and D are incorrect because they do not address the key principle of maintaining sterility. Placing sterile gauze over spilled solution (
B) can introduce contaminants to the field, holding the bottle in the center (
C) does not prevent contamination, and the orientation of the label (
D) does not affect sterility.
Question 5 of 5
A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: The nurse should plan to determine the medical needs of incoming clients through the emergency department during a mass casualty event to prioritize care based on severity. This action allows for efficient allocation of resources and timely treatment for those in critical condition. Acting as a liaison with the media (
A) is not a priority during such emergencies. Recommending clients for discharge (
B) is inappropriate as the focus should be on incoming patients. Calling in additional staff (
D) may be necessary but determining medical needs is the immediate priority.