ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking vital signs first assesses for complications like digoxin toxicity or worsening heart failure, guiding further interventions.
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 caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?
Correct Answer: A
Rationale: The purpose of a stool guaiac test is to detect the presence of occult (hidden) blood in the stool. This test is commonly used to screen for gastrointestinal bleeding, which may indicate various conditions such as peptic ulcers, colorectal cancer, inflammatory bowel disease, or hemorrhoids.
Question 4 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Flow rate = (250 mL / 120 min) x 15 gtts/mL = 31.25 gtts/min, rounded to 31 gtts/min.
Question 5 of 5
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: Washing clothing, bedding, and towels in hot water kills lice and eggs, preventing reinfestation. While being lice-free before school return and treating family members are important, they are less comprehensive. Throwing out toys is unnecessary if they can be sealed or cleaned.