ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is caring for a client who has an implanted venous access port.
Question 1 of 5
Which of the following should the nurse use to access the port?
Correct Answer: D
Rationale: The correct answer is D: A noncoring needle. The nurse should use a noncoring needle to access the port because it is specifically designed for this purpose. Noncoring needles have a special tip that minimizes damage to the port septum, reducing the risk of complications such as infection or port damage. An angiocatheter (
A) is not ideal for accessing a port as it is designed for venipuncture, not for accessing ports. A 25-gauge needle (
B) may be too small and may not provide adequate flow. A butterfly needle (
C) is not recommended for accessing ports due to its design and potential for septum damage.
Extract:
A nurse reviews the entries in the medical record.
Question 2 of 5
For each potential nursing action, click to specify if the action is indicated or not indicated for the client.
| Potential Prescription | Anticipated | Not Indicated |
|---|---|---|
| Document the blood product transfusion in the client's medical record. | ||
| Stay with the client for the first 15 min of the transfusion | ||
| Titrate the rate of infusion to maintain the client's blood pressure at least 91/60 mm. Hg | ||
| Obtain the first unit of packed RBCS from the blood bank. | ||
| Start an IV bolus of lactated Ringers solution. |
Correct Answer: A,B,D
Rationale: [A: 1, B: 1, C: 0, D: 1, E: 0, F: , G: ]
- A: Documenting blood product transfusion is crucial for legal and tracking purposes.
- B: Staying with the client ensures immediate response to any adverse reactions.
- C: Titration of infusion rate for BP is not within nursing scope without physician order.
- D: Obtaining packed RBCs precedes transfusion to verify compatibility.
- E: Starting IV bolus of LR is not indicated as it is unrelated to the transfusion process.
Extract:
Question 3 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,E
Rationale: The correct actions for the nurse to take are B, C, and E. B, Urine culture, is important to identify the causative organism of a urinary tract infection. C, Obtaining a provider prescription for antibiotics, is necessary to treat the infection. E, Obtaining a provider prescription for phenazopyridine, can help alleviate urinary discomfort.
Choice A, Vaginal culture, is not relevant to the scenario of a urinary tract infection.
Choice D, Ibuprofen for pain, is not addressing the infection itself. Without a prescription, phenazopyridine should not be administered.
Extract:
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because blowing into the meter as hard and quickly as possible ensures accurate lung function test results. This instruction ensures a consistent and forceful flow of air, which is crucial for reliable readings. Option A is incorrect because the tongue should not be placed on the mouthpiece, as this can affect the accuracy of the test. Option B is incorrect as maintaining a semi-Fowler's position is not necessary for this test. Option C is incorrect because recording the average of the readings is not a step in the actual testing process.
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.