Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to apply a transdermal analgesic cream prior to inserting an IV on a preschooler. Which of the following actions should the nurse take?

Correct Answer: A,B,C,D

Rationale: A. Cleansing the skin ensures optimal drug absorption by removing contaminants. B. Applying the cream an hour prior allows sufficient time for therapeutic effect. C. A visual pain rating scale provides feedback on the cream's effectiveness. D. Intact skin is necessary for proper absorption of transdermal medications.

Question 2 of 5

A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: This response acknowledges the client's feelings and validates their experience, showing empathy and understanding. It opens the door for further exploration of the client's concerns and allows the nurse to provide support and assistance.

Question 3 of 5

A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?

Correct Answer: C

Rationale: Orlistat blocks dietary fat absorption, not appetite. A no-fat diet is unnecessary, as moderate fat reduction suffices. Dark urine may indicate liver issues, a serious side effect, requiring immediate medical attention. Orlistat should be taken with or after meals, not before breakfast.

Question 4 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 5 of 5

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

Correct Answer: C

Rationale: Rifampin causes red-orange discoloration of bodily fluids, including urine, which is harmless but can be alarming. Black stools, teeth staining, and constipation are not typical side effects.

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