ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Measuring arm circumference quantifies swelling, providing objective data to assess potential complications like infiltration.
Question 2 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 risk from restricted mouth movement with intermaxillary fixation, which could lead to choking if vomiting occurs.
Question 3 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Recognizing that the ostomy is temporary indicates an understanding of the surgical management of Hirschsprung disease, as many children require a temporary ostomy with the possibility of eventual bowel anastomosis.
Question 4 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 5 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.