Questions 108

ATI RN

ATI RN Test Bank

ATI Clinical Exam Questions

Extract:


Question 1 of 5

A nurse is conducting a patient's history and physical examination. Which information should the nurse consider as subjective data? Which information is subjective data?

Correct Answer: B

Rationale: Nausea is subjective, reported by the patient. Petechiae, cyanosis, and fever are objective, observable.

Question 2 of 5

A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The patients in her assignment are stable. Which of the following legal torts applies to this situation? Which legal tort applies to leaving shift early without permission?

Correct Answer: A

Rationale: Negligence applies if leaving early risks patient harm by falling below care standards. Other torts are irrelevant.

Question 3 of 5

A nurse is caring for a patient who has a new prescription for gabapentin. Which of the following adverse effects should the nurse monitor for? Which adverse effect should the nurse monitor for gabapentin?

Correct Answer: A

Rationale: Gabapentin can cause drowsiness, a common side effect. Other options are not typical.

Question 4 of 5

A nurse is admitting a patient exhibiting manic behavior. The patient reports recent personal stressors, including the loss of her mother and a divorce. What should be the nurse's priority action? What is the priority action for a manic patient?

Correct Answer: C

Rationale: Preventing self-directed violence is the priority due to impaired judgment in mania.

Question 5 of 5

A nurse is caring for a patient who is receiving heparin by continuous IV infusion. Which of the following medications should the nurse plan to administer in the event of an overdose? Which medication should the nurse administer for heparin overdose?

Correct Answer: D

Rationale: Protamine reverses heparin’s anticoagulant effects. Vitamin K is for warfarin, and others are irrelevant.

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