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 reviewing a client's cardiac rhythm strips and notes a constant P.R interval of 0.35 seconds.


Question 1 of 5

Which of the following dysrhythmias is the client displaying?

Correct Answer: A

Rationale: The correct answer is A: First-degree atrioventricular block. This dysrhythmia is characterized by a delay in conduction at the atrioventricular node, causing a prolonged PR interval (>0.20 sec) on ECG. It is a benign condition and does not typically require treatment unless symptomatic.

Choices B and D are more serious dysrhythmias that have different ECG patterns and clinical implications. Complete heart block (
Choice
B) presents with a lack of conduction between the atria and ventricles, leading to a slow ventricular rate. Atrial fibrillation (
Choice
D) is characterized by rapid, irregular atrial depolarizations without effective atrial contractions. Premature atrial complexes (
Choice
C) are early ectopic atrial beats that appear as abnormal P waves on ECG but do not cause significant conduction delays.

Extract:

A nurse is caring for a client who has end-stage kidney disease.


Question 2 of 5

Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure?

Correct Answer: C

Rationale: The correct answer is C: Hypertension. Hypertension is a contraindication to many medical procedures due to the increased risk of complications such as bleeding or cardiovascular events. In this case, performing a procedure on a child with hypertension could pose significant risks to their health. Amputation (
A) is not necessarily a contraindication unless it directly affects the procedure site. Osteoarthritis (
B) may not directly impact the procedure. Primary glaucoma (
D) is not related to the procedure in question.

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:

A nurse is preparing to obtain a health history from a client who is on bedrest.


Question 4 of 5

Which of the following positions should the nurse take to place the client at ease?

Correct Answer: A

Rationale: The correct answer is A: Sit in a chair next to the bed. This position allows the nurse to be at eye level with the client, promoting a sense of equality and rapport. Sitting also conveys a sense of attentiveness and availability for conversation. Standing at the side of the bed (
B) may create a sense of distance. Sitting on the bed next to the client (
C) may invade personal space. Standing at the foot of the bed (
D) can be perceived as intimidating.

Extract:

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


Question 5 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.

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