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 reviews the entries in the medical record.


Question 1 of 5

Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,B

Rationale: The correct actions are A and B. A second nurse confirming the information on the blood label ensures accuracy and prevents errors. Inserting a large bore IV catheter allows for rapid transfusion and prevents complications.
Choice C ensures informed consent but is not directly related to the transfusion process.
Choice D is incorrect because dextrose cannot be used to flush transfusion tubing.
Choice E is incorrect as it provides inaccurate information to the client.

Extract:

A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Negative pressure rooms prevent airborne spread of varicella.

Extract:

A nurse Is providing teaching about immunizations to a client who is pregnant.


Question 3 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: D

Rationale: The correct answer is D: You can receive the immunization for influenza at any time during your pregnancy. This statement is correct because the influenza vaccine is recommended for pregnant women at any stage of pregnancy to protect both the mother and the unborn baby. It is safe and effective during pregnancy.
Incorrect choices:
A: The immunization for varicella should be given at least 1 month prior to delivery - This is incorrect because the varicella vaccine is not routinely recommended during pregnancy.
B: You can receive the rubella immunization during the third trimester of pregnancy - This is incorrect because the rubella vaccine is contraindicated during pregnancy.
C: The hepatitis B immunization should not be obtained until after you finish breastfeeding - This is incorrect because the hepatitis B vaccine is recommended during pregnancy to prevent transmission to the baby.

Extract:

A nurse in an emergency department is assessing an adolescent who has conduct disorder.


Question 4 of 5

Which of the following questions is the priority for the nurse to ask the client?

Correct Answer: D

Rationale: The correct answer is D. The nurse's priority is to assess for any immediate danger or harm to the client. Asking about thoughts of harming oneself is crucial in determining the client's safety. This question helps identify the client's risk of suicide and allows for timely intervention if needed.

Choices A, B, and C focus on different aspects of the client's behavior and relationships, which are important but not as urgent as assessing for suicidal ideation. It is essential to address safety concerns first before exploring other areas.

Extract:


Question 5 of 5

A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?

Correct Answer: B

Rationale: The correct answer is B: Weight Loss. Furosemide is a loop diuretic that helps the body excrete excess fluid and sodium through increased urine output.
Therefore, weight loss would indicate that the medication has been effective in reducing the client's fluid volume excess. Increased blood pressure (
A) would not be an expected finding as furosemide typically helps lower blood pressure. Decreased inflammation (
C) and decreased pain (
D) are not directly related to the action of furosemide as a diuretic.

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