ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and the growing uterus, and it may recur late in pregnancy as the fetus presses on the bladder. This response accurately describes the pattern.
Question 2 of 5
A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
Correct Answer: D
Rationale: Alendronate must be administered on an empty stomach at least 30 minutes before breakfast with a full glass of water to ensure adequate absorption and minimize esophageal irritation.
Question 3 of 5
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Crushing enteric-coated aspirin would bypass its delayed-release mechanism, releasing the medication all at once and increasing the risk of gastric irritation. This response accurately explains the issue.
Question 4 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Flow rate = (250 mL / 120 min) x 15 gtts/mL = 31.25 gtts/min, rounded to 31 gtts/min.
Question 5 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Walking with the client at a gradually slower pace provides support, de-escalates anxiety, and allows therapeutic communication. Other options may escalate anxiety or fail to address the client's needs.