ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Holding the dropper approximately 2 cm (1 in) above the nares allows for precise instillation of the drops into the nasal passages without touching the dropper to the nares, which helps prevent contamination.
Question 2 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 3 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. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer: A,C,B,D,E
Rationale: The sequence follows the ABCDE primary survey: airway (jaw-thrust), breathing (ventilation), circulation (IV access), disability (Glasgow Coma Scale), and exposure (remove clothing).
Question 4 of 5
A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select?
Correct Answer: B
Rationale: The median vein in the forearm is preferred for older adults due to its accessibility and lower risk of complications compared to smaller veins like the radial or dorsal metacarpal veins. The antecubital vein is more suitable for acute situations.
Question 5 of 5
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: C
Rationale: A decrease in heart rate indicates improved perfusion due to adequate fluid replacement. Decreases in blood pressure or urine output suggest inadequate resuscitation, and weight changes are not immediate indicators.