ATI Fundamentals Proctored Exam 2023-2024 with NGN -Nurselytic

Questions 105

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ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions

Extract:


Question 1 of 5

Nurse reviewing CDC's immunization recommendations with parents of adolescent. Which should nurse include in this discussion? (Select all that apply.)

Correct Answer: B,D,E

Rationale: The correct choices are B (Varicella), D (HPV), and E (Seasonal influenza) because they are recommended immunizations for adolescents by the CDC. Varicella protects against chickenpox, HPV protects against certain types of cancer, and seasonal influenza helps prevent the flu. Rotavirus (
A) is typically given to infants, not adolescents. Herpes zoster (
C) is for older adults to prevent shingles. The empty choices (F and G) are not relevant to adolescent immunization discussions.

Question 2 of 5

Nurse is preparing discharge summary for client whose had knee surgery & is going home. Which following info about client should nurse include in it?

Correct Answer: B,C,E

Rationale: The correct answer is B, C, and E. B, Where to go for follow-up care, is crucial for ensuring the client continues to receive necessary treatment post-surgery. C, Instructions for diet/meds, are essential for the client's recovery and to prevent complications. E, Contact info for home healthcare agency, is important for arranging any additional support needed at home. A, Advance directives status, is not directly related to the client's immediate post-operative care. D, Most recent vital sign data, may not be relevant for a discharge summary. F, Follow-up care, and G, Medication, are redundant as they are covered by the other options.

Question 3 of 5

Nurse reviewing CDC's immunization recommendations for young adult. Which should nurse include in this discussion? (Select all that apply.)

Correct Answer: A,B,C

Rationale: The correct answer is A, B, and C. The nurse should include HPV, measles, mumps, rubella, and varicella in the discussion as these are recommended immunizations for young adults by the CDC. HPV vaccination helps prevent certain types of cancers and genital warts. Measles, mumps, and rubella vaccines protect against highly contagious diseases. Varicella vaccine prevents chickenpox.

Choices D, E, F, and G are incorrect. Haemophilus influenzae type b and polio vaccines are typically given during infancy and childhood, not young adulthood. The options F and G are incomplete.

Question 4 of 5

A mother tells nurse that her 2 yo has temper tantrums. Child says 'no' every time mother tries to help her get dressed. Nurse explains that developmentally the toddler is...

Correct Answer: A

Rationale: The correct answer is A: Trying to gain her independence. At the age of 2, toddlers start asserting their independence and autonomy. By saying 'no' and resisting help with getting dressed, the child is exhibiting typical behavior for this stage of development. This behavior is a sign that the child is trying to assert her own will and demonstrate her independence. It is important for the nurse to reassure the mother that this behavior is normal and part of the child's healthy development.

Choices B, C, and D are incorrect because they do not align with the typical developmental milestones of a 2-year-old.
Choice B, developing a sense of trust, is more characteristic of infancy and early childhood.
Choice C, manifesting anger management problem, is not supported by the information provided and is an overinterpretation of the child's behavior.
Choice D, attempting to finish a project she started, does not apply to the situation described and is not developmentally appropriate for a 2-year-old.

Question 5 of 5

A nurse is caring for a client 24h post-op following abdominal surgery and suspects inadequate pain management. Which findings support this suspicion?

Correct Answer: B,C,E

Rationale:
Correct Answer: B, C, E


Rationale:
B: Nonadherence with coughing and deep breathing after abdominal surgery can indicate inadequate pain management, as pain may inhibit the client from performing these important post-operative exercises.
C: Accepting pain medication every 6-7 hours instead of the recommended 4-6 hours suggests inadequate pain control, as the client may be waiting too long between doses, leading to unrelieved pain.
E: Elevated heart rate (HR 110/min) can be a sign of inadequate pain management as pain can cause physiological stress responses, such as tachycardia, indicating uncontrolled pain.
Incorrect choices:
A: Client agitation may be due to various reasons other than inadequate pain management.
D: Tenderness in right lower leg is not directly related to post-op pain management.
Summary:
The correct answers focus on indicators directly related to inadequate pain management post-operatively, such as nonadherence with coughing and deep breathing, delayed medication

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