ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Hyperventilating the client with 100% oxygen prior to suctioning preoxygenates the client, minimizing the risk of hypoxia during the procedure, which is critical for maintaining adequate oxygen levels.
Question 2 of 5
A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
Correct Answer: D
Rationale: Alendronate must be administered on an empty stomach at least 30 minutes before breakfast with a full glass of water to ensure adequate absorption and minimize esophageal irritation.
Question 3 of 5
A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?
Correct Answer: C
Rationale: This statement reflects hypervigilance and paranoia, common symptoms of PTSD. The client's behavior of checking rooms for potential threats indicates a heightened state of arousal and persistent fear related to past combat experiences.
Question 4 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Reviewing the events leading to each error is the first step to identify root causes and patterns, enabling targeted interventions. Competency exams, in-services, or programs should follow this analysis.
Question 5 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.