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 requires seclusion to prevent harm to others on the unit. Which of the following is an appropriate action for the nurse to take?

Correct Answer: A

Rationale: The correct answer is A: Document the client's behavior prior to being placed in seclusion. This is important for legal and clinical reasons as it provides a clear record of the client's behavior leading up to seclusion, ensuring transparency and accountability. Assessing behavior once every hour (choice
B) may not be sufficient for monitoring the client's condition in seclusion. Offering fluids every 2 hours (choice
C) is important for hydration but not directly related to seclusion. Discussing inappropriate behavior with the client (choice
D) may escalate the situation and is not recommended in this scenario.

Extract:

A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min.


Question 2 of 5

The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?

Correct Answer: D

Rationale: Maternal hypoglycemia can lead to fetal bradycardia.

Extract:

A nurse is caring for a client in an acute care setting.


Question 3 of 5

Complete the following sentence by using the list of options. The client is at risk of----- as evidenced by-------

Correct Answer: C,F

Rationale: Immobility increases the risk of hypostatic pneumonia, especially in clients with paraplegia.

Extract:

A nurse is caring for a client at a clinic.


Question 4 of 5

The client is at risk for developing-----due to---

Correct Answer: B,E

Rationale: Increasing paroxetine while discontinuing fluoxetine can lead to serotonin syndrome.

Extract:

A nurse is assessing a client immediately following a cardiac catheterization.


Question 5 of 5

The nurse should notify the provider for which of the following findings?

Correct Answer: D

Rationale: The correct answer is D: Hematoma over the insertion site. This finding indicates potential internal bleeding, which can lead to complications. Notify the provider to assess and manage promptly. A: Discomfort at insertion site is common post-procedure and can be managed with appropriate interventions. B: Heart rate of 90/min is within normal range and does not require immediate provider notification. C: Bounding pulses in the affected extremity may indicate adequate perfusion and is not a concerning finding.

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