ATI Comprehensive 2024 Exit Exam with NGN -Nurselytic

Questions 170

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ATI Comprehensive 2024 Exit Exam with NGN Questions

Extract:


Question 1 of 5

A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?

Correct Answer: A

Rationale: The correct answer is A because using an electronic messaging system to remind clients when to take medications is an example of tertiary prevention. Tertiary prevention focuses on managing and improving the quality of life for individuals already diagnosed with a disease. In this case, reminding clients to take medications helps prevent complications and progression of HIV. The other choices are incorrect because: B is an example of primary prevention as it aims to prevent the occurrence of a disease; C is related to secondary prevention as it involves early detection and prevention of complications; D is a form of health promotion rather than prevention.

Extract:

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.


Question 2 of 5

The nurse should monitor the client for which of the following complications?

Correct Answer: A

Rationale: Contractions can indicate preterm labor, a potential complication after amniocentesis.

Extract:

A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis.


Question 3 of 5

Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: The correct answer is A: Perform chest percussion and postural drainage at least twice daily. Chest percussion and postural drainage are essential airway clearance techniques for patients with cystic fibrosis to help mobilize and clear mucus from the lungs. Performing these techniques at least twice daily helps to prevent mucus buildup, reduce the risk of infections, and improve lung function. Restricting gluten intake (
B) is not specific to cystic fibrosis management. Administering pancreatic enzymes on an empty stomach (
C) is important for patients with cystic fibrosis to aid in digestion, but it is not directly related to chest physiotherapy. Using a nebulizer after airway clearance therapy (
D) may be beneficial, but the primary focus should be on chest physiotherapy as the initial intervention for mucus clearance.

Extract:


Question 4 of 5

A nurse is developing a care plan for a client who is in Buck's traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to assistive personnel?

Correct Answer: D

Rationale:
Correct Answer: D. Remind the client to use the incentive spirometer.


Rationale:
1. Incentive spirometer use is a task that can be safely delegated to assistive personnel.
2. It is a non-invasive procedure and does not require advanced nursing skills.
3. Using the incentive spirometer helps prevent respiratory complications post-surgery.
4. Assistive personnel can remind the client to use it regularly, promoting lung expansion and preventing atelectasis.

Summary of other choices:
A: Asking the client to describe pain requires nursing assessment skills.
B: Checking the client's pedal pulse requires nursing assessment skills.
C: Observing the position of the suspended weight requires nursing judgment to adjust if needed.

Extract:

A nurse is caring for a client who has generalized petechiae and ecchymoses.


Question 5 of 5

The nurse should expect a prescription for which of the following laboratory tests?

Correct Answer: A

Rationale: Petechiae and ecchymoses suggest thrombocytopenia warranting platelet count evaluation.

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