ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The presence of lochia rubra, small clots, and a firm, midline fundus indicates normal postpartum uterine involution, so documenting and monitoring is appropriate unless signs of hemorrhage appear.
Question 2 of 5
A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?
Correct Answer: C
Rationale: Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution and absorption, reducing gastrointestinal irritation. Dairy products can form insoluble calcium salts, reducing absorption. Calcium carbonate may cause constipation, not diarrhea, so decreasing dietary bulk is inappropriate. Reducing sodium intake is not specific to this medication.
Question 3 of 5
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: D
Rationale: Ensuring the AP has the necessary knowledge and skill to perform the task safely and effectively is critical for patient safety and aligns with the right task and right person in the five rights of delegation.
Question 4 of 5
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?
Correct Answer: D
Rationale: Atelectasis refers to the collapse or closure of a part of the lung, leading to decreased air entry and breath sounds in the affected area. In a client who has been on bedrest for several days, atelectasis can occur due to reduced lung expansion and ventilation.
Question 5 of 5
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: Washing clothing, bedding, and towels in hot water kills lice and eggs, preventing reinfestation. While being lice-free before school return and treating family members are important, they are less comprehensive. Throwing out toys is unnecessary if they can be sealed or cleaned.