NGN ATI COMPREHENSIVE EXIT R E T A K E
EXAM testbank-LATEST RELIABLE STUDY GUIDE;
QUESTIONS,ANSWERS AND RATIONALES-graded A+
2024
1. A nurse is caring for a client who is at 33 weeks gestation following an
amniocentesis. The nurse should monitor the client for which of the following
complications?
a. contractions
b. Hypertention
c. Epigastric pain
d. vomiting
Answer: a. Contraction
Rational: Amniocentesis
-Can't be done before 16 weeks, not enough amniotic fluid.
-maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor,
abruptio placentae, damage to intestines or bladder, amniotic fluid embolism
-fetal risks: death, hemorrhage, infection, direct injury from the needle, miscarriage, and
preterm, leakage of amniotic fluid
2. A nurse is providing teaching to an older adult client about methods to promote
nighttime sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep.
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
Answer:D. Eat a light snack before bedtime
Rational:Consume a light snack of carbohydrates at bedtime
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and
whose monitor displays ventricular tachycardia. Which of the following actions should
the nurse first take determining the client does not have a palpable pulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer Epinephrine
Answer:B. Defibrillate
Rational: The nurse needs to assess the client to determine stability before
proceeding with further interventions. If the client has a pulse and is relatively
stable, elective cardioversion or antidysrhythmic medications may be
prescribed. The drug of choice for stable ventricular
tachycardia with a pulse is amiodarone. If the client is pulseless or
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