ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: Preventing aspiration is the priority due to the increased risk from restricted mouth movement caused by intermaxillary fixation, which could lead to complications if vomiting occurs.
Question 2 of 5
A child is admitted with a suspected diagnosis of Wilms tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Correct Answer: A
Rationale: Palpating the abdomen in a child with Wilms tumor risks rupturing the tumor capsule, potentially causing dissemination of cancer cells. This is the primary warning needed.
Question 3 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.
Question 4 of 5
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
Correct Answer: A
Rationale: The client's flinching when the nurse palpates his abdomen suggests that he may be experiencing pain. Pain can cause behavioral changes in older adults, including withdrawal, decreased verbal communication, and altered facial expressions. The client's inability to verbally communicate but ability to nod and smile in response to questions further supports the possibility of pain affecting his behavior.
Question 5 of 5
A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?
Correct Answer: C
Rationale: This statement reflects hypervigilance and paranoia, common symptoms of PTSD. The client's behavior of checking rooms for potential threats indicates a heightened state of arousal and persistent fear related to past combat experiences.