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 is assessing a client immediately following a cardiac catheterization.
Question 2 of 5
The nurse should notify the provider for which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Hematoma over the insertion site. This finding indicates potential internal bleeding, which can lead to complications. Notify the provider to assess and manage promptly. A: Discomfort at insertion site is common post-procedure and can be managed with appropriate interventions. B: Heart rate of 90/min is within normal range and does not require immediate provider notification. C: Bounding pulses in the affected extremity may indicate adequate perfusion and is not a concerning finding.
Extract:
A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion.
Question 3 of 5
For which of the following therapeutic effects should the nurse monitor the client?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes 2+. Monitoring deep tendon reflexes is essential in assessing neurological function and detecting abnormalities such as hyperreflexia or hyporeflexia. A normal response of 2+ indicates intact neurological pathways. Abnormal reflexes could be indicative of various neurological conditions. Pulse rate, urine output, and proteinuria are important parameters to monitor but are not specifically related to therapeutic effects. Monitoring deep tendon reflexes is crucial for detecting early signs of neurological complications and guiding appropriate interventions.
Extract:
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
Question 4 of 5
Which of the following actions should the nurse Include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?
Correct Answer: B
Rationale: The correct answer is B because acknowledging the client's emotions can help de-escalate the situation. By stating, "You seem to be very upset," the nurse shows empathy and understanding, which can help the client feel heard and validated. Using a face shield, engaging the panic alarm, or initiating seclusion protocol are not appropriate actions in this scenario as they do not address the client's emotional state or help in calming them down. Face shield and panic alarm are more related to safety precautions, while seclusion protocol should only be considered as a last resort for safety reasons.
Therefore, choice B is the most appropriate action for interacting with a client who is aggravated, pacing, and speaking loudly.
Extract:
A nurse is caring for a client.
Question 5 of 5
Select the 5 findings that require immediate follow-up
Correct Answer: A,B,D,E,H
Rationale: The correct choices for immediate follow-up are A, B, D, E, and H. Stool results (
A) are crucial for detecting gastrointestinal issues. Hemoglobin and hematocrit (
B) levels indicate blood health. Heart rate (
D) reflects cardiovascular function. Current medications (E) help assess potential drug interactions. WIC count (H) is essential for monitoring infection. Respiratory rate (
C) and temperature (F) are important but not as urgent.