Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?

Correct Answer: B

Rationale: Performing a neurovascular assessment is the priority to evaluate circulation, sensation, and movement distal to the casted limb. Changes in these parameters could indicate complications such as compartment syndrome, requiring immediate intervention.

Question 2 of 5

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Correct Answer: B

Rationale: Recombinant factor VIII is the treatment of choice for hemophilia A, replacing deficient factor VIII to promote clot formation and prevent excessive bleeding during procedures like wisdom teeth extractions.

Question 3 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.

Question 4 of 5

A nurse is caring for a client who has named a person to serve as his health care proxy. The client talks about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

Correct Answer: B

Rationale: The client does not have to choose a family member as their health care proxy; they can select any trusted individual. This statement requires clarification to ensure the client understands their autonomy in choosing a proxy.

Question 5 of 5

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

Correct Answer: C

Rationale: Examining the tympanic membrane at the end ensures a systematic head-to-toe assessment, allowing the nurse to focus on major body systems first before specific areas like the ears.

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