Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Correct Answer: C

Rationale: A decrease in heart rate indicates improved perfusion due to adequate fluid replacement. Decreases in blood pressure or urine output suggest inadequate resuscitation, and weight changes are not immediate indicators.

Question 2 of 5

A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency.

Correct Answer: B,C,A,D

Rationale: The correct order is Rescue the clients, Pull the fire alarm, Confine the fire, Extinguish the fire. This prioritizes client safety, alerts others, contains the fire, and attempts to extinguish it if safe.

Question 3 of 5

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Rotavirus, MMR, varicella, and DTaP are routinely recommended for 1-year-olds to protect against specific infections, while HPV is typically administered to preteens and adolescents.

Question 4 of 5

A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

Correct Answer: B

Rationale: Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.

Question 5 of 5

A client in the bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?

Correct Answer: C

Rationale: Moving clients from the smoldering fire ensures their safety from smoke inhalation or burns, making it the priority action.

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