ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: C
Rationale: Lowering the height of the solution container reduces the flow rate of the enema solution, which can help alleviate abdominal cramps by slowing the rate of distension of the bowel. Slowing the infusion rate allows the client's colon to accommodate to the enema more comfortably.
Question 2 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 3 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Recognizing that the ostomy is temporary indicates an understanding of the surgical management of Hirschsprung disease, as many children require a temporary ostomy with the possibility of eventual bowel anastomosis.
Question 4 of 5
A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?
Correct Answer: B
Rationale: Recombinant factor VIII is the treatment of choice for hemophilia A, replacing deficient factor VIII to promote clot formation and prevent excessive bleeding during procedures like wisdom teeth extractions.
Question 5 of 5
A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Hyperventilating the client with 100% oxygen prior to suctioning preoxygenates the client, minimizing the risk of hypoxia during the procedure, which is critical for maintaining adequate oxygen levels.