ATI Comprehensive 2024 Exit Exam with NGN -Nurselytic

Questions 170

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ATI Comprehensive 2024 Exit Exam with NGN Questions

Extract:

A nurse is caring for a client.


Question 1 of 5

The nurse anticipates the client will likely require-------as evidenced by the client’s---------

Correct Answer: B,D

Rationale: The correct answers are B (stool test results) and D (an endoscopy). The nurse anticipates the client will likely require a stool test based on gastrointestinal symptoms, such as abdominal pain or blood in stool. Stool test results can help diagnose gastrointestinal issues. Additionally, the nurse may anticipate the need for an endoscopy to further investigate gastrointestinal symptoms, like persistent reflux or difficulty swallowing.

Choices A, C, E, and F are less likely as they are not directly related to gastrointestinal issues.
Choice E (antifungal prescription) may be relevant in case of fungal infection, but gastrointestinal symptoms would not typically prompt this.
Choice F (oxygen via nonrebreather mask) is more related to respiratory issues.

Extract:

A nurse is caring for a client who has an indwelling urinary catheter.


Question 2 of 5

The nurse notes that sediment is present in the urine.

Correct Answer: B

Rationale: Retention ports allow sterile specimen collection.

Extract:


Question 3 of 5

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

Correct Answer: D

Rationale: The correct answer is D because it reflects an understanding of the concept of supply and demand in breastfeeding. The statement acknowledges that the more the baby suckles, the more milk the parent will produce. This aligns with the principle that frequent and effective nursing stimulates milk production.


Choice A is incorrect because it suggests limiting nursing time, which can hinder milk production.
Choice B is incorrect as manual expression can actually help increase milk supply.
Choice C is incorrect as it is recommended to offer both breasts during a feeding session to ensure the baby receives enough hindmilk.

Extract:

A nurse in an emergency department is caring for a client following a motor-vehicle crash.


Question 4 of 5

Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: The correct answer is A: The client is oriented times three. This indicates that the client is alert and aware of person, place, and time. This finding is crucial in assessing the client's mental status and cognitive function. Opening eyes to sound (
B) is a basic response but does not indicate orientation. Inability to obey commands (
C) suggests altered mental status. Withdrawing from pain (
D) may indicate a physical reflex rather than cognitive function. Overall, being oriented times three is the most comprehensive assessment of mental alertness and cognitive function.

Extract:


Question 5 of 5

A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?

Correct Answer: C

Rationale: The correct answer is C. The nurse should assess the client who just drank orange juice for a low blood glucose level first because hypoglycemia can lead to serious complications like seizures or loss of consciousness. Assessing and addressing the client's blood glucose level promptly is crucial to prevent harm.


Choice A is not the priority as the client scheduled for a procedure in 1 hour can wait for assessment until after the client with low blood glucose is evaluated.


Choice B, the client who received pain medication 30 minutes ago, can be assessed after the client with low blood glucose since the medication's effects have likely already taken place.


Choice D, the client with 100 mL of fluid remaining in the IV bag, can also wait for assessment as it does not pose an immediate threat to the client's health compared to low blood glucose.


Therefore, prioritizing the assessment of the client with low blood glucose is crucial to ensure their safety and well-being.

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