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 teaching a client who has a tibia fracture about using crutches with a three-point gait.


Question 1 of 5

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

Correct Answer: D

Rationale: Proper hand positioning ensures effective crutch use.

Extract:


Question 2 of 5

A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following activities should the nurse perform first?

Correct Answer: B

Rationale: The correct answer is B: Evaluate functioning of the suction device. First, the nurse needs to ensure proper suction to prevent aspiration and maintain airway patency. This step is crucial for the client's safety and well-being. Administering an antiemetic medication (
A) may be necessary but not the first priority. Providing oral hygiene care (
C) can wait until after ensuring proper suction. Replacing the NG tube (
D) is not necessary unless there are signs of tube malfunction.

Question 3 of 5

A nurse is assessing a client who is postoperative following abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 mL/hr. Which of the following interventions should the nurse anticipate?

Correct Answer: B

Rationale: The correct answer is B: Administer a fluid bolus. The dark yellow urine output at 25 mL/hr indicates concentrated urine and potential dehydration. Administering a fluid bolus would help improve hydration status and increase urine output. Continuous bladder irrigation (
A) is not indicated as there is no indication of bladder obstruction. Clamping the catheter tubing (
C) can lead to urinary retention and should not be done without a specific reason. Obtaining a urine specimen for culture (
D) is important, but addressing the dehydration issue takes priority.

Extract:

A nurse is caring for a client in a clinic.


Question 4 of 5

Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require follow-up.

Correct Answer: A,D,F,G

Rationale: These findings suggest unresolved trauma and substance use, requiring intervention.

Extract:

A nurse is caring for a client.


Question 5 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.

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