Questions 104

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ATI RN Test Bank

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

Open the airway using a jaw-thrust maneuver
Establish IV access
Determine effectiveness of ventilator efforts
Perform a Glasgow Coma Scale assessment
Remove clothing for a thorough assessment

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.

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