ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The calculation involves dividing the total volume (250 mL) by the infusion time (120 minutes) and multiplying by the drop factor (15 gtts/mL). Simplified, this yields approximately 2 gtts/minute after rounding to the nearest whole number.
Question 2 of 5
A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?
Correct Answer: D
Rationale: The total insulin is calculated by adding 14 units of regular insulin and 28 units of NPH insulin, resulting in 42 units.
Question 3 of 5
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.
Correct Answer: C,B,A,D
Rationale: The correct sequence is Inspection, Auscultation, Superficial palpation, Deep palpation. Inspection is first to observe without discomfort, followed by auscultation to assess baseline bowel sounds before palpation alters them. Superficial palpation assesses tenderness gently, and deep palpation is last to minimize discomfort.
Question 4 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Applying ice to the affected area is a common postoperative instruction following knee surgery. Ice helps reduce swelling, inflammation, and pain. It is usually recommended for short intervals, such as 20 minutes every few hours, for the first 48 to 72 hours after surgery.
Question 5 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Measuring arm circumference quantifies swelling, providing objective data to assess potential complications like infiltration.