ATI exit with ngn EXAM TEST BANK WITH ALL VERSIONS OF THE EXAM WITH ALLMODULES COVERED | ACCURATE AND VERIFIED QUESTIONS AND ANSWERS FOR GUARANTEED PASS| LATEST UPDATE

1. A nurse is caring for a client who has generalized petechiae and ecchymoses. Which lab test should the nurse expect to be prescribed? A) Hemoglobin B) Platelet count C) White blood cell count D) Prothrombin time (PT) Correct Answer: B) Platelet count Rationale: Petechiae and ecchymoses indicate bleeding or clotting disorders often related to platelet abnormalities; thus, platelet count is essential for diagnosis. 2. A nurse is providing nutrition teaching for a client with hypertension (HTN). Which food should the nurse suggest? A) Red meat B) Cheese C) Fish D) Processed snacks Correct Answer: C) Fish Rationale: Fish, especially fatty fish, contains omega-3 fatty acids, which can help reduce blood pressure and improve cardiovascular health. 3. A nurse reviewing a medical record notes a client with acute MI had hip arthroplasty 1 week ago. Why does this place the client at risk if given alteplase? A) Increased risk of bleeding B) Allergy to thrombolytics C) Infection risk D) Kidney impairment Correct Answer: A) Increased risk of bleeding Rationale: Recent major surgery, like hip arthroplasty, is a contraindication for thrombolytics due to high risk of bleeding. 4. A nurse observes blood on the dressing 2 hours after a child’s cardiac catheterization. What action should the nurse take? A) Remove the dressing B) Apply continuous pressure 1 inch above the insertion site C) Elevate the limb D) Call the physician immediately Correct Answer: B) Apply continuous pressure 1 inch above the insertion site Rationale: Applying pressure above the puncture site helps control bleeding from the catheter insertion site. 5. When caring for a client on continuous enteral feeding via NG tube, the nurse should: A) Change tubing every 24 hours B) Measure gastric residual volumes every 4 hours C) Flush the tube once daily D) Clamp tube for 2 hours after feeding Correct Answer: B) Measure gastric residual volumes every 4 hours Rationale: Monitoring gastric residuals helps prevent aspiration and assess feeding tolerance. 6. A charge nurse notes an increase in catheter infections. What should be the first action? A) Review infection reports with staff B) Schedule staff training on infection control C) Replace all catheters D) Report to hospital administration Correct Answer: B) Schedule staff training on infection control Rationale: Education addresses root causes of infection and improves adherence to protocols. 7. Which task can a charge nurse delegate to an LPN? A) Administer IV medications B) Perform sterile dressing change on an abdominal wound C) Conduct initial client assessment D) Develop nursing care plan Correct Answer: B) Perform sterile dressing change on an abdominal wound Rationale: LPNs are trained to perform sterile dressing changes but not assessments or planning. 8. For a 2-month-old infant with heart failure, the nurse should: A) Limit oral feedings to 30 minutes B) Increase feeding volume per session C) Feed only every 6 hours D) Use a standard feeding schedule Correct Answer: A) Limit oral feedings to 30 minutes Rationale: Limiting feeding time reduces fatigue and risk of aspiration in infants with heart failure. 9. When performing medication reconciliation at admission, the nurse should: A) Compare new prescriptions with the client’s reported medication list B) Only verify prescriptions with pharmacy C) Discard old medications D) Wait until discharge to reconcile medications Correct Answer: A) Compare new prescriptions with the client’s reported medication list Rationale: Medication reconciliation prevents errors and ensures continuity of care. 10. A newly licensed nurse suctioning a tracheostomy waits 2 minutes between suctions. This action requires intervention because: A) The waiting time is too short B) The waiting time is too long C) Suctioning is unnecessary D) The nurse should suction continuously Correct Answer: B) The waiting time is too long Rationale: Suctioning should be intermittent with 30-second intervals to prevent hypoxia. 11. For a 6-year-old admitted with varicella, the nurse should: A) Assign to a positive air pressure room B) Assign to a negative air pressure room C) Place with other children with varicella D) Use a private room without special airflow Correct Answer: B) Assign to a negative air pressure room Rationale: Negative pressure rooms prevent airborne transmission of varicella virus. 12. Which client is appropriate for early discharge after an external disaster? A) Client 1 day post vertebroplasty B) Client with acute MI C) Client with pneumonia on oxygen D) Client with uncontrolled diabetes Correct Answer: A) Client 1 day post vertebroplasty Rationale: Stable postoperative clients without acute complications are candidates for early discharge to free beds. 13. At 14 weeks gestation, which finding should be reported immediately? A) Mild nausea B) Swelling of the face C) Occasional headaches D) Increased appetite Correct Answer: B) Swelling of the face Rationale: Facial swelling may indicate preeclampsia, requiring urgent evaluation. 14. A baseline fetal heart rate of 100/min for 15 minutes in active labor may be caused by: A) Maternal hypoglycemia B) Fetal distress C) Maternal dehydration D) Uterine rupture Correct Answer: A) Maternal hypoglycemia Rationale: Maternal hypoglycemia can lead to fetal bradycardia. 15. For a client following kosher dietary laws, which food choice is appropriate? A) Ham and cheese sandwich B) Scrambled eggs and toast with milk C) Shrimp salad D) Beef stew with pork sausage Correct Answer: B) Scrambled eggs and toast with milk Rationale: Eggs, bread, and milk are kosher and permitted foods. 16. After carpal tunnel surgery, the client demonstrates understanding by saying: A) “I will keep my hand below my heart.” B) “I will keep my hand elevated above my heart.” C) “I will avoid moving my hand.” D) “I will soak my hand daily.” Correct Answer: B) “I will keep my hand elevated above my heart.” Rationale: Elevation reduces swelling and pain. 17. In a toddler with epiglottitis, the nurse should: A) Encourage coughing B) Continuously monitor respiratory status C) Perform throat culture D) Provide cold fluids Correct Answer: B) Continuously monitor respiratory status Rationale: Epiglottitis can cause sudden airway obstruction; close monitoring is critical. 18. Expected manifestation of hypovolemia includes: A) Hypertension B) Dizziness C) Bradycardia D) Flushed skin Correct Answer: B) Dizziness Rationale: Reduced circulating volume causes decreased cerebral perfusion leading to dizziness. 19. To obtain a sterile urine specimen from a client with an indwelling catheter, the nurse should: A) Collect urine from the drainage bag B) Obtain specimen from the retention port C) Remove catheter and collect midstream urine D) Clamp catheter for 1 hour before collection Correct Answer: B) Obtain specimen from the retention port Rationale: The retention port provides a sterile access point for urine collection.