ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
Correct Answer: C
Rationale: Heparin is an anticoagulant that prevents new clots from forming by inhibiting clotting factors, but it does not dissolve existing clots.
Question 2 of 5
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
Correct Answer: C
Rationale: The statement about the child squinting to see the board raises concern about potential visual impairment, which may require further assessment by an eye care professional.
Question 3 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Walking with the client at a gradually slower pace provides support, de-escalates anxiety, and allows therapeutic communication. Other options may escalate anxiety or fail to address the client's needs.
Question 4 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 5 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Rinsing the mouth with water after each dose of inhaled beclomethasone helps minimize local side effects such as oral candidiasis (thrush) or dysphonia (hoarseness) by reducing the amount of medication left in the mouth, thereby decreasing the risk of adverse effects.