ATI Comprehensive 2024 Exit Exam with NGN -Nurselytic

Questions 170

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ATI Comprehensive 2024 Exit Exam with NGN Questions

Extract:

A charge nurse is observing a conflict between two nurses who both insist that the charge nurse favors the other when making assignments.


Question 1 of 5

Which of the following conflict-resolution strategies should the charge nurse use?

Correct Answer: A

Rationale: The correct answer is A: Encourage collaboration between the two nurses when making the assignments. This strategy fosters open communication and teamwork, leading to a mutually agreed-upon solution. It promotes a sense of ownership and shared responsibility, enhancing job satisfaction and reducing conflict.
Choice B may not address the underlying issues causing conflict.
Choice C is vague and lacks a specific action plan.
Choice D avoids the conflict rather than resolving it.

Extract:

A nurse is providing preoperative teaching to a client about promoting circulation during the postoperative period.


Question 2 of 5

Which of the following Instructions should the nurse include?

Correct Answer: B

Rationale: The correct answer is B: Participate in range-of-motion exercises. This instruction is important to prevent complications such as blood clots and muscle stiffness post-procedure. Range-of-motion exercises help maintain joint flexibility and circulation.
Choice A is incorrect as prolonged bed rest can increase the risk of blood clots.
Choice C is important but not as crucial immediately post-procedure compared to mobilizing joints.
Choice D is a comfort measure and does not have direct implications for post-procedure complications.

Extract:

A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis.


Question 3 of 5

Which of the following statements should the nurse make?

Correct Answer: A

Rationale: The correct answer is A because the nurse should offer to review information to assist the patient in selecting a safe alternative practitioner, showing support and guidance.
Choice B is incorrect because it assumes the provider will inform the patient of therapies, not necessarily the nurse.
Choice C is incorrect as it lacks professional guidance and may lead to unsafe choices.
Choice D is incorrect as it suggests the patient can find remedies independently without professional advice.

Extract:


Question 4 of 5

A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client,If you don't eat I'll put restraints on your wrists and feed you." The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?"

Correct Answer: B

Rationale: The correct answer is B: Assault. Assault refers to the threat of harmful or offensive contact without the actual contact occurring. In this scenario, the AP's statement of putting restraints on the client constitutes a threat of physical harm, which falls under the definition of assault. The nurse should intervene to prevent any potential harm to the client. The other choices are incorrect because: A: Battery involves actual harmful or offensive contact, which has not occurred in this situation. C: Negligence refers to a failure to provide reasonable care, not a threat of harm. D: Malpractice involves professional negligence or misconduct, which is not demonstrated in this scenario.

Extract:

A nurse manager is updating protocols for the use of belt restraints.


Question 5 of 5

Which of the following guidelines should the nurse manager include?

Correct Answer: B

Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is crucial to monitor the client's well-being, detect any changes promptly, and ensure the effectiveness of the restraint. Removing the restraint every 4 hours (choice
A) can compromise the client's safety and defeat the purpose of using restraints. Requesting a PRN restraint prescription for aggressive clients (choice
C) may lead to overuse of restraints without proper assessment. Attaching restraints to the bed's side rails (choice
D) can increase the risk of injury and is not recommended. Regular documentation is essential in ensuring the client's safety and well-being.

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