ATI RN
ATI Comprehensive 2024 Exit Exam with NGN Questions
Extract:
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.
Question 1 of 5
Which of the following statements should the nurse include in the hand-off report?
Correct Answer: A
Rationale: The correct answer is A: The estimated blood loss was 250 milliliters. This statement is crucial in a hand-off report as it provides important information about the client's condition post-procedure. It helps alert the receiving nurse to any potential complications or the need for further monitoring.
Statement B is incorrect as the client's position on the board of directors is not relevant to the client's immediate care needs and does not provide useful clinical information. Statement C, the number of sponges used, is also irrelevant to the client's immediate condition and does not impact the client's ongoing care.
Statement D, mentioning intubation without complications, could be important in certain contexts, but in this scenario, information about blood loss is more critical for the receiving nurse to be aware of.
Extract:
A nurse is teaching a client who has a tibia fracture about using crutches with a three-point gait.
Question 2 of 5
Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Proper hand positioning ensures effective crutch use.
Extract:
Question 3 of 5
A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I can resume activities such as sewing." This indicates an understanding of the teaching because it shows the client recognizes the need to avoid strenuous activities that may increase intraocular pressure, thus risking damage to the repaired retina. Sewing is a low-impact activity that does not involve heavy lifting or sudden movements, making it safe for the client postoperatively.
Choice A is incorrect because jogging is a high-impact activity that should be avoided for several weeks post-surgery.
Choice B is incorrect because bending at the waist can increase intraocular pressure, which is not recommended post-detached retina repair.
Choice C is incorrect as lifting objects, even if less than 10 pounds, can also increase intraocular pressure.
Question 4 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.
| Potential Prescription | Anticipated | Not Anticipated |
|---|---|---|
| Place client in supine position | ||
| Limit fluid intake to 3,000 mL/day | ||
| Administer oxytocin | ||
| Maintain bed rest with bathroom privileges | ||
| Administer betamethasone. | ||
| Administer terbutaline. |
Correct Answer: D,E,F
Rationale: [0, 0, 0, 1, 1, 1]
For the correct answer :
- D: Maintaining bed rest with bathroom privileges is anticipated as it helps in preventing physical strain while allowing essential movement.
- E: Administering betamethasone is anticipated for fetal lung maturation in preterm labor.
- F: Administering terbutaline is anticipated for delaying preterm labor by relaxing uterine muscles.
Other choices:
- A: Placing the client in a supine position is not anticipated as it can decrease blood flow to the fetus.
- B: Limiting fluid intake to 3,000 mL/day is not anticipated as hydration is vital during pregnancy.
- C: Administering oxytocin is not anticipated unless there is a specific indication for labor induction.
Question 5 of 5
A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following activities should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Evaluate functioning of the suction device. First, the nurse needs to ensure proper suction to prevent aspiration and maintain airway patency. This step is crucial for the client's safety and well-being. Administering an antiemetic medication (
A) may be necessary but not the first priority. Providing oral hygiene care (
C) can wait until after ensuring proper suction. Replacing the NG tube (
D) is not necessary unless there are signs of tube malfunction.