ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Fluid overload leads to increased heart rate, respiratory rate, and blood pressure due to compensatory mechanisms and increased circulating volume. Hematocrit decreases due to hemodilution, and temperature is not typically affected.
Question 3 of 5
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Holding the dropper approximately 2 cm (1 in) above the nares allows for precise instillation of the drops into the nasal passages without touching the dropper to the nares, which helps prevent contamination.
Question 4 of 5
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PC without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Warfarin requires days to reach therapeutic levels; heparin provides immediate anticoagulation until then.
Question 5 of 5
A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?
Correct Answer: A
Rationale: The purpose of a stool guaiac test is to detect the presence of occult (hidden) blood in the stool. This test is commonly used to screen for gastrointestinal bleeding, which may indicate various conditions such as peptic ulcers, colorectal cancer, inflammatory bowel disease, or hemorrhoids.