ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: D
Rationale: Non-maleficence, the duty to do no harm, supports the nurse's concern about avoiding actions that might hasten the client's death, although administering pain medication to relieve suffering is generally aligned with this principle when the intent is comfort.
Question 2 of 5
A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?
Correct Answer: D
Rationale: Restraining a client against their will without justification constitutes false imprisonment, as it unlawfully restricts their freedom.
Question 3 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 4 of 5
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: C
Rationale: A decrease in heart rate indicates improved perfusion due to adequate fluid replacement. Decreases in blood pressure or urine output suggest inadequate resuscitation, and weight changes are not immediate indicators.
Question 5 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.