ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select?
Correct Answer: B
Rationale: The median vein in the forearm is preferred for older adults due to its accessibility and lower risk of complications compared to smaller veins like the radial or dorsal metacarpal veins. The antecubital vein is more suitable for acute situations.
Question 2 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The presence of lochia rubra, small clots, and a firm, midline fundus indicates normal postpartum uterine involution, so documenting and monitoring is appropriate unless signs of hemorrhage appear.
Question 3 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale: Running outdoors, especially in hot weather, can lead to dehydration and increased sweating, reducing lithium excretion and increasing the risk of lithium toxicity.
Question 4 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 5 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Using a quick-release tie ensures that restraints can be removed quickly in an emergency or for repositioning, enhancing client safety and compliance with restraint protocols.