Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

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Question 1 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 2 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 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 perform an abdominal assessment on a child. Identify the sequence the nurse should follow.

Correct Answer: C,B,A,D

Rationale: The correct sequence is Inspection, Auscultation, Superficial palpation, Deep palpation. Inspection is first to observe without discomfort, followed by auscultation to assess baseline bowel sounds before palpation alters them. Superficial palpation assesses tenderness gently, and deep palpation is last to minimize discomfort.

Question 5 of 5

A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer: B,C,A,D

Rationale: The RACE protocol prioritizes rescuing clients, activating the alarm, confining the fire, and extinguishing it if safe.

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