ATI RN
ATI Comprehensive Exit Exam 2023 With NGN Quizlet
1. A nurse is providing teaching about gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse give?
- A. Administer the feeding over 30 minutes
- B. Place the child in a supine position after the feeding
- C. Change the feeding bag and tubing every 3 days
- D. Warm the formula in the microwave prior to administration
Correct answer: A
Rationale: The correct answer is to administer the feeding over 30 minutes. This slow administration helps prevent complications like nausea. Placing the child in a supine position after the feeding can increase the risk of aspiration, making choice B incorrect. Changing the feeding bag and tubing every 3 days is important for infection control and hygiene but is not directly related to the administration process, making choice C incorrect. Warming the formula in the microwave is not recommended as it can create hot spots that may burn the child's mouth or esophagus, so choice D is incorrect.
2. A client has a new prescription for captopril. Which of the following instructions should the nurse include?
- A. Take this medication with food.
- B. You may experience a persistent dry cough.
- C. Increase your intake of foods high in potassium.
- D. You should avoid eating grapefruit while taking this medication.
Correct answer: B
Rationale: The correct answer is B. A persistent dry cough is a common side effect of captopril, an ACE inhibitor, and should be included in the teaching. Choice A is incorrect because captopril is usually taken on an empty stomach. Choice C is incorrect because captopril can increase potassium levels, so there is no need to further increase potassium intake. Choice D is incorrect because captopril does not interact with grapefruit.
3. A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?
- A. Clamp the chest tube for 15 minutes every 2 hours.
- B. Empty the drainage collection chamber when it is half full.
- C. Keep the drainage system below the level of the client's chest.
- D. Strip the chest tube every 2 hours to maintain patency.
Correct answer: C
Rationale: The correct action the nurse should take when caring for a client with a chest tube is to keep the drainage system below the level of the client's chest. This positioning helps prevent fluid from flowing back into the pleural space, ensuring proper drainage and effective functioning of the chest tube. Clamping the chest tube intermittently or stripping it frequently can lead to complications and should be avoided. Emptying the drainage collection chamber at specific intervals may vary based on institutional protocols, but it should be done when it is no more than two-thirds full to prevent backflow and maintain accurate monitoring of drainage output.
4. A nurse is planning care for a client with thrombocytopenia. Which action should be included?
- A. Encourage the client to floss daily.
- B. Remove fresh flowers from the client's room.
- C. Provide the client with a stool softener.
- D. Avoid serving the client raw vegetables.
Correct answer: C
Rationale: The correct action to include in the care plan for a client with thrombocytopenia is to provide a stool softener. Thrombocytopenia is a condition characterized by low platelet count, which can lead to an increased risk of bleeding. Providing a stool softener helps prevent straining during bowel movements, reducing the risk of bleeding episodes. Encouraging the client to floss daily (choice A) is important for oral hygiene but is not directly related to thrombocytopenia. Removing fresh flowers from the client's room (choice B) is more relevant for clients with neutropenia to reduce the risk of infection. Avoiding serving the client raw vegetables (choice D) is important for clients with compromised immune systems but is not specifically related to thrombocytopenia.
5. A charge nurse is teaching a group of nurses about the correct use of restraints. Which of the following should the nurse include in the teaching?
- A. Place a belt restraint on a school-age child who has seizures.
- B. Secure wrist restraints to the bed rails for an adolescent.
- C. Apply elbow immobilizers to an infant with a cleft lip injury.
- D. Keep the side rails of a toddler's crib elevated.
Correct answer: D
Rationale: The correct use of restraints is crucial to ensure patient safety. Keeping the side rails of a toddler's crib elevated is a safe practice as it prevents falls and provides a level of protection without directly restraining the child. Placing a belt restraint on a child with seizures (Choice A) is inappropriate as it may restrict movement and cause harm during a seizure. Securing wrist restraints to bed rails for an adolescent (Choice B) is not recommended as it can lead to injuries and compromise circulation. Applying elbow immobilizers to an infant with a cleft lip injury (Choice C) is also incorrect as it does not address the issue of restraint and is not a standard practice in this situation.
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