ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: C
Rationale: Family history of urolithiasis is a significant risk factor for developing kidney stones due to genetic factors that influence stone formation.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Measuring arm circumference quantifies swelling, providing objective data to assess potential complications like infiltration.
Question 4 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Talking the client through tasks one step at a time provides clear, structured guidance, which is beneficial for clients with Alzheimer's disease to reduce confusion and support task completion.
Question 5 of 5
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Correct Answer: A
Rationale: Drying the newborn's skin is the priority to prevent hypothermia, which is a significant risk for neonates due to heat loss through evaporation.