ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?
Correct Answer: B
Rationale: Clients with nasogastric tubes to suction lose gastric contents, which contain potassium, increasing the risk of hypokalemia. Chest tubes, urinary catheters, and tracheostomy tubes do not typically cause significant potassium loss.
Question 2 of 5
A nurse is caring for a 2-month-old infant who is preoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Rocking or gentle movement can provide comfort to infants postoperatively and may help soothe them. It also promotes bonding between the infant and parents, which is important for emotional support during the recovery period.
Question 3 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 4 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and the growing uterus, and it may recur late in pregnancy as the fetus presses on the bladder. This response accurately describes the pattern.
Question 5 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: D
Rationale: Non-maleficence, the duty to do no harm, supports withholding medication if the nurse believes it may hasten death, prioritizing harm avoidance.