ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?
Correct Answer: B
Rationale: Thyroid hormone assay is essential for clients taking lithium, as it can lead to hypothyroidism or exacerbate preexisting thyroid conditions. Regular monitoring ensures thyroid function remains within therapeutic range.
Question 2 of 5
A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching?
Correct Answer: B
Rationale: Medications for Raynaud's disease, such as calcium channel blockers, are typically taken regularly to prevent attacks, not at the first sign of symptoms. This statement indicates a need for further education on proper medication use.
Question 3 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Reviewing the events leading to each error is the first step to identify root causes and patterns, enabling targeted interventions. Competency exams, in-services, or programs should follow this analysis.
Question 4 of 5
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
Order the Items
Source Container
Correct Answer: C,B,A,D
Rationale: The correct sequence is Inspection, Auscultation, Superficial palpation, Deep palpation. Inspection is first to observe without discomfort, followed by auscultation to assess baseline bowel sounds before palpation alters them. Superficial palpation assesses tenderness gently, and deep palpation is last to minimize discomfort.
Question 5 of 5
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
Correct Answer: D
Rationale: A private room in a quiet location on the unit is ideal as it provides the client with a calm environment, minimizing external stimuli that could trigger or escalate manic behaviors. A quiet space can help promote a sense of safety and allow the client to regain control over their emotions and behavior.