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 who has generalized petechiae and ecchymoses.


Question 1 of 5

The nurse should expect a prescription for which of the following laboratory tests?

Correct Answer: A

Rationale: Petechiae and ecchymoses suggest thrombocytopenia warranting platelet count evaluation.

Extract:


Question 2 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.

Question 3 of 5

A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: The correct answer is C: FHR baseline 170/min. A baseline fetal heart rate (FHR) of 170/min is considered tachycardia and may indicate fetal distress. The nurse should report this finding to the provider for further evaluation and intervention. Early decelerations in fetal heart rate (choice
B) are generally considered normal and do not require immediate reporting. A slightly elevated temperature (choice
A) may not be concerning during labor. Contractions lasting 80 seconds (choice
D) can be normal in active labor.

Extract:

A nurse is teaching a client who has atrial fibrillation and is to start taking dabigatran.


Question 4 of 5

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

Correct Answer: A

Rationale: The correct answer is A because keeping medication in the original container ensures proper identification, dosage, and expiration monitoring.
Choice B is incorrect as replacing unused medication every 6 months may lead to waste.
Choice C is incorrect as not all medications should be stored in the refrigerator.
Choice D is incorrect as crushing medication may alter its effectiveness or cause harm. It is important for the client to understand the importance of following specific storage instructions provided with the medication, making choice A the most appropriate response.

Extract:

A nurse is caring for a female client who requests a contraceptive diaphragm.


Question 5 of 5

Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Assessing the client’s current knowledge is the first step in patient education.

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