ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse is teaching a client who has atrial fibrillation and is to start taking dabigatran.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because keeping medication in the original container ensures proper identification, dosage, and expiration monitoring.
Choice B is incorrect as replacing unused medication every 6 months may lead to waste.
Choice C is incorrect as not all medications should be stored in the refrigerator.
Choice D is incorrect as crushing medication may alter its effectiveness or cause harm. It is important for the client to understand the importance of following specific storage instructions provided with the medication, making choice A the most appropriate response.
Extract:
A nurse is reviewing the laboratory data of a client who received 2 units of packed RBCs.
Question 2 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:
Question 3 of 5
A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the client's ability to help with repositioning. This is crucial as it assesses the client's capability and involvement in the process, promoting independence and preventing complications.
Choice B is incorrect as assistive devices may be necessary for safety.
Choice C is incorrect as raising side rails can limit access and may not be needed.
Choice D is incorrect as discussing preferences is important but not directly related to repositioning.
Extract:
A nurse in an emergency department is caring for a client who has a closed head injury.
Question 4 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:
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P.R interval of 0.35 seconds.
Question 5 of 5
Which of the following dysrhythmias is the client displaying?
Correct Answer: A
Rationale: The correct answer is A: First-degree atrioventricular block. This dysrhythmia is characterized by a delay in conduction at the atrioventricular node, causing a prolonged PR interval (>0.20 sec) on ECG. It is a benign condition and does not typically require treatment unless symptomatic.
Choices B and D are more serious dysrhythmias that have different ECG patterns and clinical implications. Complete heart block (
Choice
B) presents with a lack of conduction between the atria and ventricles, leading to a slow ventricular rate. Atrial fibrillation (
Choice
D) is characterized by rapid, irregular atrial depolarizations without effective atrial contractions. Premature atrial complexes (
Choice
C) are early ectopic atrial beats that appear as abnormal P waves on ECG but do not cause significant conduction delays.