ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: A
Rationale: A CD4 T cell count of less than 200 cells/mm3 indicates severe immunosuppression in a client with HIV, increasing the risk of opportunistic infections, making it the priority laboratory value to monitor.
Question 2 of 5
A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Moving clients away from the smoldering fire ensures their safety from smoke and burns, making it the priority. Activating the alarm, using an extinguisher, and closing fire doors follow after ensuring client safety.
Question 3 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? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Cleansing the skin, applying the cream an hour prior, using a pain scale, and applying to intact skin ensure effective pain relief. Applying to both forearms is unnecessary unless specified.
Question 4 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale: Running outdoors, especially in hot weather, can lead to dehydration and increased sweating, reducing lithium excretion and increasing the risk of lithium toxicity.
Question 5 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Facial grimacing and eye blinking, involuntary pelvic rocking and hip thrusting movements, and tongue thrusting and lip smacking are classic signs of tardive dyskinesia, which involves involuntary movements often seen in patients on long-term antipsychotic medications like haloperidol.