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?
Correct Answer: A,B,C,D
Rationale: A: Cleansing the skin before applying the transdermal analgesic cream is essential to ensure optimal drug delivery. B: Applying the cream an hour before allows sufficient time for absorption and therapeutic effect. C: A visual pain rating scale helps assess the cream's effectiveness. D: Applying to intact skin ensures proper absorption and effectiveness.
Question 2 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 during abdominal palpation suggests pain, which can alter behavior and communication in older adults. This is the most likely explanation given the physical response.
Question 3 of 5
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Crushing enteric-coated aspirin would bypass its delayed-release mechanism, releasing the medication all at once and increasing the risk of gastric irritation. This response accurately explains the issue.
Question 4 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Facial grimacing, eye blinking, involuntary pelvic rocking, hip thrusting, tongue thrusting, and lip smacking are signs of tardive dyskinesia, a side effect of long-term haloperidol use. Fine hand tremors indicate and urinary retention are not typically associated with tardive dyskinesia.
Question 5 of 5
A nurse is caring for a client who is dying. The client says, 'My mother died in the hospital, but I did not get there before she died.' Which of the following statements should the nurse make?
Correct Answer: B
Rationale: This response demonstrates therapeutic communication by acknowledging the client's statement and exploring the underlying feelings or concerns behind it. It shows empathy and provides an opportunity for the client to express their emotions. Fear of dying alone is a common concern for many individuals facing the end of life, and addressing this fear can help alleviate distress.