ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Using a quick-release tie ensures that restraints can be removed quickly in an emergency or for repositioning, enhancing client safety and compliance with restraint protocols.
Question 2 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: A
Rationale: A CD4 T cell count of less than 200 cells/mm3 indicates severe immunosuppression in a client with HIV, increasing the risk of opportunistic infections, making it the priority laboratory value to monitor.
Question 3 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 4 of 5
A nurse is conducting a primary survey of a client who has sustained life threatening injuries due to a motor vehicle crash. Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A,C,B,D,E
Rationale: The correct sequence follows the ABCDE primary survey approach: Open the airway (
A), assess breathing (
C), establish circulation (
B), evaluate disability via Glasgow Coma Scale (
D), and expose the client for assessment (E).
Question 5 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale: Running outdoors, especially in hot weather, can lead to dehydration and increased sweating, reducing lithium excretion and increasing the risk of lithium toxicity.