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 experienced a stroke and is moving in with their adult child.


Question 1 of 5

Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?

Correct Answer: A

Rationale: Boundaries foster healthy family dynamics during role adjustments.

Extract:


Question 2 of 5

A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?

Correct Answer: D

Rationale: The correct answer is D: Beneficence. Beneficence is the ethical principle that involves doing good and promoting the well-being of others. By sitting with the client to provide comfort after the loss of their partner, the nurse is demonstrating beneficence by showing compassion and support. Fidelity (
A) relates to keeping promises and being faithful to commitments. Veracity (
B) is about truthfulness and honesty. Autonomy (
C) refers to respecting the client's right to make their own decisions. The other choices are not directly related to the nurse's action of providing comfort in this context.

Extract:

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


Question 3 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.

Extract:

A nurse is caring for a client who has been admitted to the hospital. Nurses' Notes 0900: The client reports experiencing a loss of appetite and shortness of breath within the last month or so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes. The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol uncontrollably. The client is alert but disoriented to time. Their abdomen is bloated and they have redness of the palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are yellow. 1230: Administered antacids, spironolactone, and colchicine per provider's prescription. Laboratory Results 1200: Hgb 9.5 g/dL(14 ta 18 g/dL) Hct 38%(42% to 52%) Bilirubin 5,3 mg/dL(0.3 ta 1.0 mg/dL) Creatinine 1.8 mg/di.(0,6 to 1.3 mg/dU) Platelet count 100,000/mm\*(150,000 to 400,000/mmn) 1800: Alanine aminotransferase ALT 51 units/L(4 to 36 units/L) Aspartate aminotransferase AST 48 units/L(0 to 35 units/L) Alkaline phosphate ALP 151 units/L(30 to 120 units/L) Blood total protein 15 g/di.(6.4 to 8.3 g/dL)


Question 4 of 5

Select the 5 actions the nurse should take.

Correct Answer: A,B,C,E,F,G

Rationale: The correct actions the nurse should take are A, B, C, E, F, and G. A: Providing rest periods promotes healing. B: Restricting sodium intake is crucial for certain health conditions. C: Avoiding soap and alcohol-based lotions can prevent skin irritation. E: Placing the client under contact isolation is necessary to prevent the spread of infection. F: Instructing the client to avoid blowing their nose forcefully prevents injury. G: Assessing the client's level of orientation is essential for monitoring their mental status. Other choices are incorrect because a low-carbohydrate diet (
D) is not mentioned, and it is not a priority action in this scenario.

Extract:


Question 5 of 5

The client asks the nurse if the medication can be given 2 hr. earlier. Which of the following statements should the nurse make?

Correct Answer: D

Rationale: The correct answer is D because it adheres to safe medication administration practices. The nurse should explain to the client that there is a window of up to 2 hours after the usual schedule time to administer the medication safely. This ensures that the medication remains effective while also preventing any potential harm from giving it too early or too late.


Choice A is incorrect because starting the medication 30 minutes earlier may not fall within the safe administration window.
Choice B is incorrect because adjusting the time solely based on convenience may compromise the medication's effectiveness.
Choice C is incorrect because infusing the medication at a faster rate could lead to adverse effects.

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