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ATI RN COMPREHENSIVE EXIT EXAM LATEST VERSION 180 ACTUAL Q&A 2024

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Question 1: A nurse is caring for a client who has undergone a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthetic hip? A) Maintain the affected hip in ad ...

Question 1: A nurse is caring for a client who has undergone a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthetic hip? A) Maintain the affected hip in adduction. B) Encourage the client to cross the legs while sitting. C) Avoid placing a pillow between the client's legs when turning. D) Instruct the client to flex the hip greater than 90 degrees when sitting. Answer: C) Avoid placing a pillow between the client's legs when turning. Explanation: Placing a pillow between the legs when turning can cause abduction of the hip, increasing the risk of dislocation after hip arthroplasty. The nurse should avoid this action to prevent complications. Question 2: A nurse is caring for a client who has a nasogastric tube in place for gastric decompression. Which of the following interventions should the nurse implement to maintain tube patency? A) Irrigate the tube with water every 4 hours. B) Clamp the tube when not in use to prevent air entry. C) Rotate the tube 180 degrees every 8 hours. D) Monitor gastric pH every 2 hours. Answer: A) Irrigate the tube with water every 4 hours. Explanation: Regular irrigation with water helps prevent the accumulation of gastric contents and maintains tube patency in clients with nasogastric tubes for gastric decompression. Question 3: A nurse is caring for a client who has a prescription for enoxaparin sodium (Lovenox) subcutaneous injections. Which of the following actions should the nurse take? A) Aspirate for blood return after injecting the medication. B) Massage the injection site after administering the medication. C) Administer the medication into the deltoid muscle. D) Apply pressure to the injection site after administering the medication. Answer: D) Apply pressure to the injection site after administering the medication. Explanation: Applying pressure to the injection site after administering enoxaparin sodium helps prevent bruising and hematoma formation. Massaging the site or aspirating for blood return is not recommended for subcutaneous injections of this medication

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