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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 heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets 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: 0.5

Rationale: Converting 125 mcg to 0.125 mg and dividing by 0.25 mg/tablet yields 0.5 tablets, which is already rounded to the nearest tenth.

Question 2 of 5

A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take?

Correct Answer: A,B,C,D

Rationale: A: Cleansing the skin before applying the transdermal analgesic cream is essential to ensure optimal drug delivery. B: Applying the cream an hour before allows sufficient time for absorption and therapeutic effect. C: A visual pain rating scale helps assess the cream's effectiveness. D: Applying to intact skin ensures proper absorption and effectiveness.

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 is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

Correct Answer: A,D,E

Rationale: Clubbing of the fingers, barrel chest, and dyspnea are common in emphysema due to chronic hypoxia, lung hyperinflation, and impaired gas exchange. Deep respirations and bradycardia are not typical.

Question 5 of 5

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

Correct Answer: C

Rationale: Haloperidol can prolong the QT interval, potentially causing dysrhythmias like torsade de pointes. Monitoring for signs such as palpitations or syncope is critical.

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