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 school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago.


Question 1 of 5

Which of the following findings is the nurse's priority?

Correct Answer: C

Rationale: The correct answer is C: Bradypnea. Bradypnea, or slow breathing, is a critical finding that can indicate respiratory compromise and potentially lead to respiratory failure. It requires immediate attention to prevent further deterioration.
Constipation (
A) is important but not as urgent as addressing a respiratory issue. Sedation (
B) and euphoria (
D) are side effects that may need monitoring but do not pose immediate threats to the patient's health.
In summary, addressing bradypnea is the priority to ensure the patient's respiratory function and prevent a life-threatening situation.

Extract:

A nurse is assessing a client who is experiencing hypovolemia.


Question 2 of 5

Which of the following manifestations should the nurse expect?

Correct Answer: B

Rationale: Dizziness reflects reduced circulating volume.

Extract:


Question 3 of 5

A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The correct answer is A: Evaluate the client's ability to help with repositioning. This is crucial as it assesses the client's capability and involvement in the process, promoting independence and preventing complications.
Choice B is incorrect as assistive devices may be necessary for safety.
Choice C is incorrect as raising side rails can limit access and may not be needed.
Choice D is incorrect as discussing preferences is important but not directly related to repositioning.

Extract:

A nurse is caring for a client.


Question 4 of 5

The nurse anticipates the client will likely require-------as evidenced by the client’s---------

Correct Answer: B,D

Rationale: The correct answers are B (stool test results) and D (an endoscopy). The nurse anticipates the client will likely require a stool test based on gastrointestinal symptoms, such as abdominal pain or blood in stool. Stool test results can help diagnose gastrointestinal issues. Additionally, the nurse may anticipate the need for an endoscopy to further investigate gastrointestinal symptoms, like persistent reflux or difficulty swallowing.

Choices A, C, E, and F are less likely as they are not directly related to gastrointestinal issues.
Choice E (antifungal prescription) may be relevant in case of fungal infection, but gastrointestinal symptoms would not typically prompt this.
Choice F (oxygen via nonrebreather mask) is more related to respiratory issues.

Extract:


Question 5 of 5

Which of the following findings require follow-up?

Correct Answer: E,F,G

Rationale: The correct answers are E, F, and G because they indicate potential complications during pregnancy.
E: Lower back pain and pinkish vaginal discharge can be signs of preterm labor or placental issues, requiring immediate follow-up.
F: Uterine contractions every 8 minutes, strong palpation, and duration 30 seconds suggest active labor, needing monitoring for progression.
G: Fetal heart rate (FHR) baseline of 145 with minimal variability may indicate fetal distress, necessitating further assessment.
Other choices are routine findings or do not pose immediate risks, such as A (normal obstetric history), B (routine lab tests), C (Rh+ blood type is common), and D (history of preterm birth but no current concerns).

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