ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 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? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Cleansing the skin, applying the cream an hour prior, using a pain scale, and applying to intact skin ensure effective pain relief. Applying to both forearms is unnecessary unless specified.
Question 2 of 5
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply)
Correct Answer: B,C,E
Rationale: Hypotension, weakened gag reflex, and absence of bowel sounds are complications associated with cervical spinal cord injury due to disruption of the sympathetic nervous system, cranial nerve function, and gastrointestinal motility, respectively.
Question 3 of 5
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following licensed adjustments should the nurse make for the client?
Correct Answer: C
Rationale: A room with air exhaust to the outdoors ensures negative pressure and prevents TB transmission via airborne particles.
Question 4 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 5 of 5
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
Correct Answer: A
Rationale: The client's flinching when the nurse palpates his abdomen suggests that he may be experiencing pain. Pain can cause behavioral changes in older adults, including withdrawal, decreased verbal communication, and altered facial expressions. The client's inability to verbally communicate but ability to nod and smile in response to questions further supports the possibility of pain affecting his behavior.