ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: C
Rationale: Painless red vaginal bleeding is characteristic of placenta previa due to the richly oxygenated maternal blood flowing from the placental vessels, with minimal or no pain.
Question 2 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 3 of 5
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: This response acknowledges the client's feelings and validates their experience, showing empathy and understanding. It opens the door for further exploration of the client's concerns and allows the nurse to provide support and assistance.
Question 4 of 5
A nurse is reinforcing teaching with a client who has asthma and a new prescription for albuterol and cromolyn metered-dose inhalers. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Taking albuterol before cromolyn is the correct sequence because albuterol is a bronchodilator that helps open the airways quickly, while cromolyn is a mast cell stabilizer that helps prevent asthma symptoms. Taking albuterol first allows for better penetration of cromolyn into the airways.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?
Correct Answer: B
Rationale: Thyroid hormone assay is essential for clients taking lithium, as it can lead to hypothyroidism or exacerbate preexisting thyroid conditions. Regular monitoring ensures thyroid function remains within therapeutic range.