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 and eye blinking, involuntary pelvic rocking and hip thrusting movements, and tongue thrusting and lip smacking are classic signs of tardive dyskinesia, which involves involuntary movements often seen in patients on long-term antipsychotic medications like haloperidol.
Question 2 of 5
A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Yellow-green drainage suggests the presence of infection, which is a concerning finding in a postoperative client. It may indicate purulent drainage, which requires further assessment and possibly treatment with antibiotics.
Question 3 of 5
A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select?
Correct Answer: B
Rationale: The median vein in the forearm is preferred for older adults due to its accessibility and lower risk of complications compared to smaller veins like the radial or dorsal metacarpal veins. The antecubital vein is more suitable for acute situations.
Question 4 of 5
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?
Correct Answer: B
Rationale: Clients with nasogastric tubes to suction lose gastric contents, which contain potassium, increasing the risk of hypokalemia. Chest tubes, urinary catheters, and tracheostomy tubes do not typically cause significant potassium loss.
Question 5 of 5
A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?
Correct Answer: C
Rationale: This statement reflects hypervigilance and paranoia, common symptoms of PTSD. The client's behavior of checking rooms for potential threats indicates a heightened state of arousal and persistent fear related to past combat experiences.