ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following licensed adjustments should the nurse make for the client?
Correct Answer: C
Rationale: A room with air exhaust to the outdoors ensures negative pressure and prevents TB transmission via airborne particles.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Facial grimacing and eye blinking, involuntary pelvic rocking and hip thrusting movements, and tongue thrusting and lip smacking are classic signs of tardive dyskinesia, which involves involuntary movements often seen in patients on long-term antipsychotic medications like haloperidol.
Question 4 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents new clots from forming by inhibiting clotting factors, but it does not dissolve existing clots.
Question 5 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: Preventing aspiration is the priority due to the risk from restricted mouth movement with intermaxillary fixation, which could lead to choking if vomiting occurs.