Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is conducting a primary survey of a client who has sustained life threatening injuries due to a motor vehicle crash. Identify the sequence of actions the nurse should take.

Correct Answer: A,C,B,D,E

Rationale: The correct sequence follows the ABCDE primary survey approach: Open the airway (
A), assess breathing (
C), establish circulation (
B), evaluate disability via Glasgow Coma Scale (
D), and expose the client for assessment (E).

Question 2 of 5

A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?

Correct Answer: D

Rationale: Medication reconciliation prevents adverse medication reactions by ensuring accurate medication lists, enhancing patient safety.

Question 3 of 5

A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 2

Rationale: The calculation involves dividing the total volume (250 mL) by the infusion time (120 minutes) and multiplying by the drop factor (15 gtts/mL). Simplified, this yields approximately 2 gtts/minute after rounding to the nearest whole number.

Question 4 of 5

A nurse is planning to apply a transdermal analgesic cream prior to inserting an IV for a preschool-age child. Which of the following actions should the nurse plan to take?

Correct Answer: A,B,C,D

Rationale: A: Cleansing the skin before applying the transdermal analgesic cream is essential to ensure optimal drug delivery. B: Applying the cream an hour before allows sufficient time for absorption and therapeutic effect. C: A visual pain rating scale helps assess the cream's effectiveness. D: Applying to intact skin ensures proper absorption and effectiveness.

Question 5 of 5

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

Correct Answer: D

Rationale: Talking the client through tasks one step at a time provides clear, structured guidance, which is beneficial for clients with Alzheimer's disease to reduce confusion and support task completion.

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