ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Facial grimacing, eye blinking, involuntary pelvic rocking, hip thrusting, tongue thrusting, and lip smacking are signs of tardive dyskinesia, a side effect of long-term haloperidol use. Fine hand tremors indicate and urinary retention are not typically associated with tardive dyskinesia.
Question 2 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 3 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?
Correct Answer: C
Rationale: Rifampin causes red-orange discoloration of bodily fluids, including urine, which is harmless but can be alarming. Black stools, teeth staining, and constipation are not typical side effects.
Question 4 of 5
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Crushing enteric-coated aspirin would bypass its delayed-release mechanism, releasing the medication all at once and increasing the risk of gastric irritation. This response accurately explains the issue.
Question 5 of 5
A client in the bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Moving clients from the smoldering fire ensures their safety from smoke inhalation or burns, making it the priority action.