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 is postoperative following a tonsillectomy.


Question 1 of 5

Which of the following findings indicates that the child may be experiencing hemorrhage?

Correct Answer: D

Rationale: Frequent swallowing can indicate bleeding in the throat post-tonsillectomy.

Extract:

A nurse is caring for a client who is receiving total parenteral nutrition(TPN): The bag has 20 mL remaining to infuse, but a new bag is not readily available.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Administer dextrose 10% in water. This action is appropriate for treating hypoglycemia, which can be a potential complication of TPN (
Total Parenteral Nutrition) therapy. Administering dextrose 10% in water can help raise the patient's blood sugar levels quickly and effectively.
Choice B is incorrect as lactated Ringers solution does not directly address hypoglycemia.
Choice C is not the best option as slowing the TPN infusion rate may further decrease the patient's blood sugar levels.
Choice D is also incorrect as temporarily discontinuing the TPN infusion may exacerbate the hypoglycemia.

Extract:

A nurse is caring for a client who has an indwelling urinary catheter.


Question 3 of 5

The nurse notes that sediment is present in the urine.

Correct Answer: B

Rationale: Retention ports allow sterile specimen collection.

Extract:

A nurse is providing nutrition teaching for a client who has hypertension.


Question 4 of 5

Which of the following foods should the nurse suggest the client include in their diet?

Correct Answer: D

Rationale: Fish is low in saturated fats and beneficial for cardiovascular health.

Extract:

A nurse is assessing a 2-year-old toddler.


Question 5 of 5

Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: The correct answer is D: Nontender, protruding abdomen. This finding is expected in a child with kwashiorkor, a form of severe protein-energy malnutrition. The nontender, protruding abdomen is due to fluid accumulation in the abdomen (ascites) and the lack of muscle mass. This is a key characteristic of kwashiorkor. The other choices are incorrect because:
A) Head circumference exceeding chest circumference is not a typical finding in children;
B) Fontanels should be soft and flat in infants, not palpable;
C) Natural loss of deciduous teeth occurs around age 6-12 years, not in infancy.

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