ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
Correct Answer: D
Rationale: Alendronate must be administered on an empty stomach at least 30 minutes before breakfast with a full glass of water to ensure adequate absorption and minimize esophageal irritation.
Question 2 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Walking with the client at a gradually slower pace provides support, de-escalates anxiety, and allows therapeutic communication. Other options may escalate anxiety or fail to address the client's needs.
Question 3 of 5
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: D
Rationale: The total insulin is calculated by adding 14 units of regular insulin and 28 units of NPH insulin, resulting in 42 units.
Question 4 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: C
Rationale: Painless red vaginal bleeding is characteristic of placenta previa due to the richly oxygenated maternal blood flowing from the placental vessels, with minimal or no pain.
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.