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

For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.

Potential Prescription Anticipated Not Anticipated
Place client in supine position
Limit fluid intake to 3,000 mL/day
Administer oxytocin
Maintain bed rest with bathroom privileges
Administer betamethasone.
Administer terbutaline.

Correct Answer: D,E,F

Rationale: [0, 0, 0, 1, 1, 1]
For the correct answer :
- D: Maintaining bed rest with bathroom privileges is anticipated as it helps in preventing physical strain while allowing essential movement.
- E: Administering betamethasone is anticipated for fetal lung maturation in preterm labor.
- F: Administering terbutaline is anticipated for delaying preterm labor by relaxing uterine muscles.
Other choices:
- A: Placing the client in a supine position is not anticipated as it can decrease blood flow to the fetus.
- B: Limiting fluid intake to 3,000 mL/day is not anticipated as hydration is vital during pregnancy.
- C: Administering oxytocin is not anticipated unless there is a specific indication for labor induction.

Extract:

A nurse Is providing teaching about immunizations to a client who is pregnant.


Question 2 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: D

Rationale: The correct answer is D: You can receive the immunization for influenza at any time during your pregnancy. This statement is correct because the influenza vaccine is recommended for pregnant women at any stage of pregnancy to protect both the mother and the unborn baby. It is safe and effective during pregnancy.
Incorrect choices:
A: The immunization for varicella should be given at least 1 month prior to delivery - This is incorrect because the varicella vaccine is not routinely recommended during pregnancy.
B: You can receive the rubella immunization during the third trimester of pregnancy - This is incorrect because the rubella vaccine is contraindicated during pregnancy.
C: The hepatitis B immunization should not be obtained until after you finish breastfeeding - This is incorrect because the hepatitis B vaccine is recommended during pregnancy to prevent transmission to the baby.

Extract:

A nurse is assisting with food selection for a client who follows kosher dietary traditions.


Question 3 of 5

Which of the following food choices should the nurse include on the client's food tray?

Correct Answer: B

Rationale: Kosher diets exclude pork and shellfish.

Extract:


Question 4 of 5

A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?

Correct Answer: D

Rationale:
Rationale: Option D is correct because it respects the client's autonomy and right to make decisions about their treatment. The client has the right to refuse treatment, even after giving initial consent. It is important for the nurse to support the client's decision without coercion.
Summary:
A: Incorrect. This statement does not address the client's current decision to refuse treatment.
B: Incorrect. This statement undermines the client's autonomy by implying they should follow the doctor's orders.
C: Incorrect. While acknowledging the client's feelings is important, it does not address the client's decision to refuse treatment.
D: Correct. Respects the client's autonomy and decision-making.
E, F, G: Not applicable.

Extract:

A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome.


Question 5 of 5

Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Elevation reduces swelling postoperatively.

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