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 nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following activities should the nurse perform first?

Correct Answer: B

Rationale: The correct answer is B: Evaluate functioning of the suction device. First, the nurse needs to ensure proper suction to prevent aspiration and maintain airway patency. This step is crucial for the client's safety and well-being. Administering an antiemetic medication (
A) may be necessary but not the first priority. Providing oral hygiene care (
C) can wait until after ensuring proper suction. Replacing the NG tube (
D) is not necessary unless there are signs of tube malfunction.

Extract:

A nurse is caring for a client who has end-stage kidney disease.


Question 2 of 5

Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?

Correct Answer: C

Rationale: The correct answer is C: Hypertension. Hypertension is a contraindication to many medical procedures due to the increased risk of complications such as bleeding or cardiovascular events. In this case, performing a procedure on a child with hypertension could pose significant risks to their health. Amputation (
A) is not necessarily a contraindication unless it directly affects the procedure site. Osteoarthritis (
B) may not directly impact the procedure. Primary glaucoma (
D) is not related to the procedure in question.

Extract:

A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.


Question 3 of 5

Which of the following actions should the nurse include in the plan of care?

Correct Answer: C

Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.

Extract:

A nurse in an emergency department is caring for a client. History and Physical 0400:


Question 4 of 5

For each finding. click to specify if the finding is consistent with pancreatitis or peritonitis Each finding may support more than one disease process.

Findings Pancreatitis Peritonitis
Bloody stools
Hyperbilirubinemia
Abdominal pain
Elevated WBC court

Correct Answer: A,B,C,D

Rationale: The correct answer is .


Rationale:
1. Bloody stools can be seen in both pancreatitis and peritonitis due to gastrointestinal bleeding.
2. Hyperbilirubinemia is a common finding in pancreatitis due to obstruction of the bile duct by edema or inflammation.
3. Abdominal pain is a hallmark symptom of both pancreatitis and peritonitis, indicating inflammation or irritation of the abdominal structures.
4. Elevated WBC count is a sign of infection or inflammation, which can be present in both pancreatitis and peritonitis.

Summary:
- Bloody stools: Supports both pancreatitis and peritonitis.
- Hyperbilirubinemia: Supports pancreatitis.
- Abdominal pain: Supports both pancreatitis and peritonitis.
- Elevated WBC count: Supports both pancreatitis and peritonitis.

Other choices are incorrect because they do not align with the typical clinical presentations of pancreatitis

Extract:

A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible.


Question 5 of 5

Which of the following is an appropriate action by the nurse?

Correct Answer: B

Rationale: The correct answer is B: Provide humidification of the room air. Humidification helps to moisturize the air, making it easier for the client to breathe, especially if they have dry mouth or throat. This can improve comfort and prevent irritation.
Choice A is incorrect because alcohol-based mouthwash can further dry out the mouth.
Choice C is incorrect as saltine crackers can exacerbate dry mouth.
Choice D is incorrect as esophageal speech is not related to addressing dry mouth.

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