ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Question 1 of 5
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: D
Rationale: The total insulin is calculated by adding 14 units of regular insulin and 28 units of NPH insulin, resulting in 42 units.
Question 2 of 5
A client in the bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Moving clients from the smoldering fire ensures their safety from smoke inhalation or burns, making it the priority action.
Question 3 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The presence of lochia rubra, small clots, and a firm, midline fundus indicates normal postpartum uterine involution, so documenting and monitoring is appropriate unless signs of hemorrhage appear.
Question 4 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Applying ice to the affected area is a common postoperative instruction following knee surgery. Ice helps reduce swelling, inflammation, and pain. It is usually recommended for short intervals, such as 20 minutes every few hours, for the first 48 to 72 hours after surgery.
Question 5 of 5
A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a local anesthetic, such as lidocaine, is the most appropriate action to alleviate pain at the insertion site of the IV catheter. Local anesthetics block nerve impulses in the area where they are applied, temporarily numbing the site and providing rapid pain relief.