ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?
Correct Answer: C
Rationale: Examining the tympanic membrane at the end ensures a systematic head-to-toe assessment, allowing the nurse to focus on major body systems first before specific areas like the ears.
Question 2 of 5
A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?
Correct Answer: D
Rationale: Restraining a client against their will without justification constitutes false imprisonment, as it unlawfully restricts their freedom.
Question 3 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: D
Rationale: Chronic kidney disease causes metabolic acidosis due to acid retention, shown by low pH (7.25) and low HCO3 (19 mEq/L).
Question 4 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?
Correct Answer: C
Rationale: Rifampin causes red-orange discoloration of bodily fluids, including urine, which is harmless but can be alarming. Black stools, teeth staining, and constipation are not typical side effects.
Question 5 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: A,C
Rationale: Applying petroleum jelly prevents lip dryness, and turning the client on their side prevents aspiration. Forcing the mouth open with fingers risks injury, and a stiff toothbrush can harm delicate tissues.