Exit ATI New Professional Technical Institute

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Sample questions from Exit ATI New Professional Technical Institute

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, the nurse receives report on four clients. Which client should be assessed first?

   • A.A client with pneumonia who has a temperature of 38.2 C and productive cough
   • B.A client 2 hours after thyroidectomy who is restless and has noisy respirations
   • C.A client with a fractured wrist who reports pain of 7 on a 0-to-10 scale
   • D.A client with diabetes whose premeal glucose is 240 mg/dL

   Rationale: Noisy respirations and restlessness after thyroid surgery can indicate airway obstruction from bleeding or edema. The airway threat takes priority over fever, hyperglycemia, or pain in a stable client. Assess the airway immediately and summon assistance as needed.

2. 2.During a home health visit, a client with heart failure says the prescribed diuretic is difficult to afford and reports taking it every other day. Which action should the nurse take first?

   • A.Tell the client to take twice the dose on the days the medication is available
   • B.Ask the client to restrict fluids to 500 mL daily
   • C.Document the client's nonadherence and end the visit
   • D.Notify the provider and collaborate with the client on an affordable medication plan

   Rationale: The nurse should address the barrier to adherence through collaboration with the provider and appropriate financial or pharmacy resources. Doubling doses and imposing severe fluid restriction without an order may cause harm. Documentation alone does not resolve the safety issue.

3. 3.A charge nurse on a rehabilitation unit is assigning care. Which task is appropriate to delegate to an experienced nursing assistant?

   • A.Evaluate whether a client's pain medication was effective
   • B.Assess a newly admitted client with a possible stroke
   • C.Obtain routine vital signs for a stable client before scheduled medication
   • D.Teach a client how to use a walker safely

   Rationale: Obtaining routine vital signs for a stable client is within the nursing assistant's role. Assessment, teaching, and evaluation require nursing judgment and remain the registered nurse's responsibility. The RN should review the recorded vital signs and act on abnormal findings.

4. 4.Refer to the client's chart. Which actions should the nurse take now? Select all that apply.

   • A.Notify the rapid response team
   • B.Place the client supine with legs elevated
   • C.Apply oxygen and maintain the airway
   • D.Restart the transfusion at a slower rate after the chills resolve
   • E.Stop the transfusion and keep the IV line open with normal saline using new tubing

   Answer and rationale are in the full material.

5. 5.In an outpatient clinic, a client with limited English proficiency needs consent teaching before a procedure. Which action best supports informed consent?

   • A.Use a qualified medical interpreter and have the provider explain the procedure
   • B.Provide a translated brochure and proceed without checking understanding
   • C.Ask the client's adult child to translate the risks and benefits
   • D.Ask the client to sign because the procedure is routine

   Answer and rationale are in the full material.