Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: This response acknowledges the client's feelings and validates their experience, showing empathy and understanding. It opens the door for further exploration of the client's concerns and allows the nurse to provide support and assistance.

Question 2 of 5

A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?

Correct Answer: D

Rationale: Atelectasis refers to the collapse or closure of a part of the lung, leading to decreased air entry and breath sounds in the affected area. In a client who has been on bedrest for several days, atelectasis can occur due to reduced lung expansion and ventilation.

Question 3 of 5

A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take?

Correct Answer: A,B,C,D

Rationale: A: Cleansing the skin before applying the transdermal analgesic cream is essential to ensure optimal drug delivery. B: Applying the cream an hour before allows sufficient time for absorption and therapeutic effect. C: A visual pain rating scale helps assess the cream's effectiveness. D: Applying to intact skin ensures proper absorption and effectiveness.

Question 4 of 5

A nurse is preparing to apply a transdermal analgesic cream prior to inserting an IV on a preschooler. Which of the following actions should the nurse take?

Correct Answer: A,B,C,D

Rationale: A. Cleansing the skin ensures optimal drug absorption by removing contaminants. B. Applying the cream an hour prior allows sufficient time for therapeutic effect. C. A visual pain rating scale provides feedback on the cream's effectiveness. D. Intact skin is necessary for proper absorption of transdermal medications.

Question 5 of 5

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?

Correct Answer: C

Rationale: HIPAA restricts disclosing PHI to family members without patient consent, except in specific cases like emergencies or patient incapacitation.

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