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 child who has cystic fibrosis and requires postural drainage.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Postural drainage should be done before meals to prevent nausea and vomiting.

Extract:

A charge nurse is concerned about a recent increase in facility-acquired catheter infections.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Identifying causes directs targeted interventions.

Extract:

A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible.


Question 3 of 5

Which of the following is an appropriate action by the nurse?

Correct Answer: B

Rationale: The correct answer is B: Provide humidification of the room air. Humidification helps to moisturize the air, making it easier for the client to breathe, especially if they have dry mouth or throat. This can improve comfort and prevent irritation.
Choice A is incorrect because alcohol-based mouthwash can further dry out the mouth.
Choice C is incorrect as saltine crackers can exacerbate dry mouth.
Choice D is incorrect as esophageal speech is not related to addressing dry mouth.

Extract:


Question 4 of 5

A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?

Correct Answer: A

Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular events. Hypertension can be exacerbated by hormonal contraceptives, leading to serious complications like stroke or heart attack. It is crucial for women with hypertension to avoid estrogen-containing contraceptives.

B: Fibromyalgia, C: Renal calculi, D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. Fibromyalgia is a chronic pain disorder, renal calculi are kidney stones, and fibrocystic breast disease is a benign breast condition. These conditions do not impact the safety or efficacy of hormonal contraceptives.

Question 5 of 5

A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Determine if the client's health care surrogate is aware of the risks and benefits of the procedure. This is important because the client is in a coma and unable to provide informed consent. The health care surrogate acts on behalf of the client and must be fully informed about the procedure to make decisions in the client's best interest. Sending the unsigned consent form to the risk manager (
A) is not appropriate as it does not address the issue of informed consent. Ensuring family support (
C) is important but does not address the legal requirement of informed consent. While determining medical necessity (
D) is important, in this case, the primary concern is obtaining informed consent.

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