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 providing discharge teaching to the parents of a toddler who has cystic fibrosis.


Question 1 of 5

Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: The correct answer is A: Perform chest percussion and postural drainage at least twice daily. Chest percussion and postural drainage are essential airway clearance techniques for patients with cystic fibrosis to help mobilize and clear mucus from the lungs. Performing these techniques at least twice daily helps to prevent mucus buildup, reduce the risk of infections, and improve lung function. Restricting gluten intake (
B) is not specific to cystic fibrosis management. Administering pancreatic enzymes on an empty stomach (
C) is important for patients with cystic fibrosis to aid in digestion, but it is not directly related to chest physiotherapy. Using a nebulizer after airway clearance therapy (
D) may be beneficial, but the primary focus should be on chest physiotherapy as the initial intervention for mucus clearance.

Extract:

A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury.


Question 2 of 5

Which of the following actions should the nurse include in the plan of care?

Correct Answer: C

Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement by inducing peristalsis, making defecation easier for the client. Increasing refined grains (
A) may worsen constipation due to their low fiber content. Providing a cold drink (
B) may have a minimal effect on bowel movements. Encouraging a maximum fluid intake of 1,500 mL per day (
D) is important for hydration but may not directly address constipation.

Extract:

A nurse is caring for a client who has an implanted venous access port.


Question 3 of 5

Which of the following should the nurse use to access the port?

Correct Answer: D

Rationale: The correct answer is D: A noncoring needle. The nurse should use a noncoring needle to access the port because it is specifically designed for this purpose. Noncoring needles have a special tip that minimizes damage to the port septum, reducing the risk of complications such as infection or port damage. An angiocatheter (
A) is not ideal for accessing a port as it is designed for venipuncture, not for accessing ports. A 25-gauge needle (
B) may be too small and may not provide adequate flow. A butterfly needle (
C) is not recommended for accessing ports due to its design and potential for septum damage.

Extract:

A nurse is assessing a client immediately following a cardiac catheterization.


Question 4 of 5

The nurse should notify the provider for which of the following findings?

Correct Answer: D

Rationale: The correct answer is D: Hematoma over the insertion site. This finding indicates potential internal bleeding, which can lead to complications. Notify the provider to assess and manage promptly. A: Discomfort at insertion site is common post-procedure and can be managed with appropriate interventions. B: Heart rate of 90/min is within normal range and does not require immediate provider notification. C: Bounding pulses in the affected extremity may indicate adequate perfusion and is not a concerning finding.

Extract:

A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion.


Question 5 of 5

For which of the following therapeutic effects should the nurse monitor the client?

Correct Answer: A

Rationale: The correct answer is A: Deep tendon reflexes 2+. Monitoring deep tendon reflexes is essential in assessing neurological function and detecting abnormalities such as hyperreflexia or hyporeflexia. A normal response of 2+ indicates intact neurological pathways. Abnormal reflexes could be indicative of various neurological conditions. Pulse rate, urine output, and proteinuria are important parameters to monitor but are not specifically related to therapeutic effects. Monitoring deep tendon reflexes is crucial for detecting early signs of neurological complications and guiding appropriate interventions.

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