ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Fluid overload leads to increased heart rate, respiratory rate, and blood pressure due to compensatory mechanisms and increased circulating volume. Hematocrit decreases due to hemodilution, and temperature is not typically affected.
Question 2 of 5
A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?
Correct Answer: C
Rationale: Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution and absorption, reducing gastrointestinal irritation. Dairy products can form insoluble calcium salts, reducing absorption. Calcium carbonate may cause constipation, not diarrhea, so decreasing dietary bulk is inappropriate. Reducing sodium intake is not specific to this medication.
Question 3 of 5
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: D
Rationale: Ensuring the AP has the necessary knowledge and skill to perform the task safely and effectively is critical for patient safety and aligns with the right task and right person in the five rights of delegation.
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 emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)
Correct Answer: A,D,E
Rationale: Clubbing of the fingers, barrel chest, and dyspnea are common in emphysema due to chronic hypoxia, lung hyperinflation, and impaired gas exchange. Deep respirations and bradycardia are not typical.