Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer: D

Rationale: The total insulin is calculated by adding 14 units of regular insulin and 28 units of NPH insulin, resulting in 42 units.

Question 2 of 5

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Rotavirus, MMR, varicella, and DTaP are routinely recommended for 1-year-olds to protect against specific infections, while HPV is typically administered to preteens and adolescents.

Question 3 of 5

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Correct Answer: B

Rationale: Pantoprazole reduces gastric acid production, promoting pancreatic rest in acute pancreatitis. Other options are inappropriate during the acute phase.

Question 4 of 5

A nurse is planning to administer olanzapine 10 mg IM to a client who has schizophrenia. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Monitoring the client for at least 3 hours after IM olanzapine injection is necessary to detect adverse reactions like sedation or hypotension. The deltoid is not the preferred site, and hallucinations are a symptom olanzapine treats.

Question 5 of 5

A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?

Correct Answer: C

Rationale: Orlistat blocks dietary fat absorption, not appetite. A no-fat diet is unnecessary, as moderate fat reduction suffices. Dark urine may indicate liver issues, a serious side effect, requiring immediate medical attention. Orlistat should be taken with or after meals, not before breakfast.

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