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ATI Clinical Exam Questions

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Question 1 of 5

A nurse is caring for a toddler. The nurse's observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next? What should the nurse do next for toddler vital signs?

Correct Answer: A

Rationale: Vital signs are concerning but not critical (elevated HR, temp); close monitoring is appropriate.

Question 2 of 5

A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. What should the nurse do? What should the nurse do for a protruding bowel?

Correct Answer: C

Rationale: Moistened sterile gauze protects the bowel until surgery. Reinserting, flat positioning, or side positioning are inappropriate.

Question 3 of 5

A nurse is caring for a patient who has a new prescription for metformin. Which of the following laboratory tests should the nurse monitor? Which lab test should the nurse monitor for metformin?

Correct Answer: D

Rationale: Metformin requires renal function monitoring due to risk of lactic acidosis in renal impairment. Other tests are less relevant.

Question 4 of 5

A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse's response be? How does albuterol aid breathing?

Correct Answer: B,C

Rationale: Albuterol prevents wheezing and opens airways by relaxing muscles, not reducing cough, stimulating mucus, or reducing inflammation.

Question 5 of 5

A nurse is evaluating a patient who is suffering from prostatic hypertrophy. What symptoms associated with urinary retention should the nurse anticipate? What symptoms of urinary retention should the nurse anticipate?

Correct Answer: A,B,C,D

Rationale: All listed symptoms (pressure, dysuria, distension, tenderness) are associated with urinary retention due to prostatic hypertrophy.

Similar Questions

A nurse in a coronary care unit is admitting a patient who has had CPR following a cardiac arrest. The patient is receiving lidocaine IV at 2 mg/min. When the patient asks the nurse why he is receiving that medication, the nurse should explain that it has which of the following actions? Why is the patient receiving lidocaine?
A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The patients in her assignment are stable. Which of the following legal torts applies to this situation? Which legal tort applies to leaving shift early without permission?
A nurse is caring for a 45-year-old male client in the emergency department. The client was admitted at 0700hrs with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue.The nurse is preparing to administer an antibiotic to the client. Which of the following actions should the nurse take? (Select all that apply)
A nurse is preparing to replace a nearly empty container of total parenteral nutrition (TPN) for a patient. There has been a delay in receiving the new TPN solution from the pharmacy. Which of the following solutions should the nurse infuse until the next TPN solution is available? Which solution should the nurse infuse during TPN delay?
A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. What prescription should the nurse anticipate from the provider? What prescription should the nurse anticipate for DKA?

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