ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 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 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 instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching?
Correct Answer: B
Rationale: Medications for Raynaud's disease, such as calcium channel blockers, are typically taken regularly to prevent attacks, not at the first sign of symptoms. This statement indicates a need for further education on proper medication use.
Question 4 of 5
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?
Correct Answer: C
Rationale: Offering the child a choice of taking the medication with juice or water empowers the child by giving them a sense of control and autonomy, increasing cooperation. Deceiving the child by saying it's candy or hiding it in ice cream can undermine trust, and threatening with a shot may induce fear.
Question 5 of 5
A child is admitted with a suspected diagnosis of Wilms tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Correct Answer: A
Rationale: Palpating the abdomen in a child with Wilms tumor risks rupturing the tumor capsule, potentially causing dissemination of cancer cells. This is the primary warning needed.