ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply)
Correct Answer: B,C,E
Rationale: Hypotension, weakened gag reflex, and absence of bowel sounds are complications associated with cervical spinal cord injury due to disruption of the sympathetic nervous system, cranial nerve function, and gastrointestinal motility, respectively.
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 caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: D
Rationale: Non-maleficence, the duty to do no harm, supports withholding medication if the nurse believes it may hasten death, prioritizing harm avoidance.
Question 4 of 5
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Rotavirus, MMR, varicella, and DTaP are routinely recommended for 1-year-olds to protect against specific infections, while HPV is typically administered to preteens and adolescents.
Question 5 of 5
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
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.