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 developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome.


Question 1 of 5

Which of the following actions should the nurse include in the plan?

Correct Answer: B

Rationale: Minimizing noise and stimuli helps to reduce symptoms of neonatal abstinence syndrome.

Extract:

A nurse is caring for a newborn whose mother was taking methadone during her pregnancy.


Question 2 of 5

Which of the following findings indicates the newborn is experiencing withdrawal?

Correct Answer: D

Rationale: The correct answer is D: Hypertonicity. This finding indicates the newborn is experiencing withdrawal because it is a common symptom of withdrawal from substances such as opioids or benzodiazepines. Hypertonicity refers to increased muscle tone, which can be observed through increased resistance to passive movement. It is a sign of central nervous system hyperirritability, often seen in newborns going through withdrawal. Bulging fontanels (
A) are a sign of increased intracranial pressure. Acrocyanosis (
B) is a normal finding in newborns and is due to immature circulation. Bradycardia (
C) is a slow heart rate, which can be caused by various factors in newborns, not specifically indicative of withdrawal.

Extract:

A nurse is admitting an adolescent who has rubella.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Pregnant women should avoid contact with individuals who have rubella due to the risk of congenital defects.

Extract:

A nurse is caring for a postpartum client in an outpatient setting.


Question 4 of 5

Complete the following sentence by using the lists of options.The client is at highest risk for developing---- as evidenced by the client's-------

Correct Answer: B,F

Rationale: Cracked nipples increase the risk of mastitis, especially in breastfeeding mothers.

Extract:


Question 5 of 5

A charge, nurse is teaching new staff members about factors that increase a client's risk to become violent: Which of the following risk factors should the nurse include as the best predictor of future violence?

Correct Answer: D

Rationale: The correct answer is D: Previous violent behavior. This is the best predictor of future violence because past behavior is a strong indicator of future actions. Individuals who have a history of violent behavior are more likely to engage in violent acts again.
Choice A (A history of being in prison) is not as strong of a predictor as it does not specifically address violent behavior.
Choice B (Male gender) is a generalization and not always indicative of violent behavior.
Choice C (Experiencing delusions) may increase the risk of violence but does not directly predict future violent behavior as strongly as previous violent actions do.

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