ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is planning to administer olanzapine 10 mg IM to a client who has schizophrenia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring the client for at least 3 hours after IM olanzapine injection is necessary to detect adverse reactions like sedation or hypotension. The deltoid is not the preferred site, and hallucinations are a symptom olanzapine treats.
Question 2 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: C
Rationale: Painless red vaginal bleeding is characteristic of placenta previa due to the richly oxygenated maternal blood flowing from the placental vessels, with minimal or no pain.
Question 3 of 5
A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?
Correct Answer: D
Rationale: Restraining a client against their will without justification constitutes false imprisonment, as it unlawfully restricts their freedom.
Question 4 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: D
Rationale: Chronic kidney disease causes metabolic acidosis due to acid retention, shown by low pH (7.25) and low HCO3 (19 mEq/L).
Question 5 of 5
A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5.6 mL
Rationale: Calculation: 33 lb / 2.2 = 15 kg; 30 mg/kg/day × 15 kg = 450 mg/day; 450 mg / 2 doses = 225 mg/dose; 225 mg ÷ (200 mg/5 mL) = 5.625 mL, rounded to 5.6 mL per dose.