ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
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 1 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.
Extract:
A nurse is preparing to administer a medication that is available in a glass ampule.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: The nurse should use a filter needle to withdraw the medication. This is the correct action as filter needles help prevent the introduction of particulate matter or impurities into the medication, ensuring patient safety. Using a filter needle also reduces the risk of needlestick injuries and contamination.
Choice B is incorrect as breaking the neck of the ampule towards the body increases the risk of injury due to glass shards flying towards the nurse.
Choice C is incorrect as it violates safe medication administration practices by risking contamination.
Choice D is incorrect as ampules should be disposed of in a sharps container, not the trash can.
Extract:
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain.
Question 3 of 5
The nurse should identity which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D. Herpes zoster is a contraindication for certain treatments because it is a viral infection that can worsen with immunosuppressive therapy. Hypertension, obesity, and hypothyroidism are not direct contraindications for receiving the treatment mentioned. Hypertension can be managed, obesity and hypothyroidism do not directly impact the treatment's efficacy. Herpes zoster, on the other hand, can lead to serious complications if the treatment suppresses the immune system. It is crucial to address active infections before starting immunosuppressive therapy to prevent further complications.
Extract:
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Advance directives can be signed without legal representation. This is correct because advance directives are legal documents that individuals can complete on their own without the need for a lawyer. They allow individuals to specify their healthcare wishes in advance.
Choice A is incorrect as medical care can be initiated regardless of advance directives.
Choice C is incorrect as advance directives must be in writing to be legally valid.
Choice D is incorrect as social workers typically provide support but do not usually offer legal representation.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Choose a vein that is palpable and straight. This is the best action because a palpable and straight vein is easier to access and less likely to cause complications during venipuncture. Selecting a visible vein reduces the risk of accidental puncture of surrounding structures. Elevating the arm (choice
B) can help make the vein more prominent, but it is not the primary action. Applying a tourniquet (choice
C) is important to help visualize the vein but does not ensure the vein is suitable. Selecting the dominant arm (choice
D) is not necessary and may limit the client's mobility.