ATI RN
ATI Comprehensive Exit Exam 2023 With NGN
1. A nurse is preparing to administer a rectal suppository to a client. What action should the nurse take?
- A. Encourage the client to hold their breath as long as possible.
- B. Insert the suppository just past the anal sphincter.
- C. Lubricate the suppository and insert it 1.5 cm (0.6 in) into the rectum.
- D. Place the client in a Sims' position before inserting the suppository.
Correct answer: D
Rationale: The correct action the nurse should take when administering a rectal suppository is to place the client in a Sims' position. This position helps facilitate the proper administration of the suppository by allowing better access to the rectum. Encouraging the client to hold their breath as long as possible (Choice A) is unnecessary and not related to the administration of a rectal suppository. Inserting the suppository just past the anal sphincter (Choice B) is incorrect as it may not reach the rectum where it needs to be placed. Lubricating the suppository and inserting it 1.5 cm into the rectum (Choice C) is incorrect as the suppository needs to be inserted deeper into the rectum for proper absorption.
2. A nurse is caring for a client who is 1 hour postpartum. Which of the following findings should the nurse report to the provider?
- A. Fundus firm and at the umbilicus.
- B. Heart rate 80/min.
- C. Blood pressure 130/78 mm Hg.
- D. A constant trickle of bright red blood from the vagina.
Correct answer: D
Rationale: After childbirth, it is normal for the fundus to be firm and at the level of the umbilicus, heart rate to be around 80/min, and blood pressure to be slightly elevated. However, a constant trickle of bright red blood from the vagina is concerning as it could indicate postpartum hemorrhage. This finding should be reported promptly to the healthcare provider for further evaluation and intervention. Choices A, B, and C are within expected postpartum parameters and do not indicate an immediate need for intervention.
3. A parent is being taught by a nurse how to prevent sudden infant death syndrome (SIDS). Which statement by the parent indicates an understanding of how to place the infant in the crib at bedtime?
- A. Place the infant on their stomach to sleep.
- B. Place the infant on their side to sleep.
- C. Place the infant on their back to sleep.
- D. Allow the infant to sleep with a pacifier.
Correct answer: C
Rationale: The correct answer is C: 'Place the infant on their back to sleep.' This statement indicates an understanding of the recommended sleep position to reduce the risk of SIDS. Placing infants on their back is the safest sleep position according to guidelines to prevent SIDS. Choices A and B are incorrect as placing the infant on their stomach or side increases the risk of SIDS. While allowing the infant to sleep with a pacifier can also reduce the risk of SIDS, the most crucial step is placing the infant on their back for sleep.
4. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take first?
- A. Check the client's identification band
- B. Verify the provider's prescription
- C. Prime the IV tubing with 0.9% sodium chloride
- D. Obtain the client's vital signs
Correct answer: A
Rationale: The correct first action for the nurse to take when preparing to administer a unit of packed RBCs is to check the client's identification band. This step is crucial to ensure that the correct blood is administered to the right client, preventing any errors or adverse reactions. Verifying the provider's prescription, priming the IV tubing, and obtaining the client's vital signs are important steps in the process but should follow the initial identification check to prioritize patient safety.
5. A healthcare professional is preparing education material for a client. Which of the following techniques should the professional use in creating material?
- A. Emphasize important information using bold lettering.
- B. Use a 7th-grade reading level.
- C. Avoid using cartoons in the material.
- D. Use words with three or four syllables.
Correct answer: B
Rationale: The correct answer is to 'Use a 7th-grade reading level.' This ensures that the material is accessible to most clients by keeping the language simple and easy to understand. Emphasizing important information using bold lettering (Choice A) can be helpful but may not enhance overall readability. Avoiding cartoons (Choice C) is not a universal rule and can sometimes make the material more engaging. Using words with three or four syllables (Choice D) can make the material difficult to comprehend for many clients.
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