ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 175.0 mg
Rationale: Dosage calculation: 50 mg/kg × 3.5 kg (3500 g / 1000) = 175 mg, rounded to 175.0 mg per dose.
Question 2 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PC without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Warfarin requires days to reach therapeutic levels; heparin provides immediate anticoagulation until then.
Question 3 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Rinsing the mouth with water after each dose of inhaled beclomethasone helps minimize local side effects such as oral candidiasis (thrush) or dysphonia (hoarseness) by reducing the amount of medication left in the mouth, thereby decreasing the risk of adverse effects.
Question 4 of 5
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: This response acknowledges the client's feelings and validates their experience, showing empathy and understanding. It opens the door for further exploration of the client's concerns and allows the nurse to provide support and assistance.
Question 5 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The presence of lochia rubra, small clots, and a firm, midline fundus indicates normal postpartum uterine involution, so documenting and monitoring is appropriate unless signs of hemorrhage appear.