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: Flow rate = (250 mL / 120 min) x 15 gtts/mL = 31.25 gtts/min, rounded to 31 gtts/min.
Question 2 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: Preventing aspiration is the priority due to the risk from restricted mouth movement with intermaxillary fixation, which could lead to choking if vomiting occurs.
Question 3 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:
Total insulin = 14 units (regular) + 28 units (NPH) = 42 units.
Question 4 of 5
A nurse is conducting a primary survey of a client who has sustained life threatening injuries due to a motor vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: A,C,B,D,E
Rationale: The sequence follows the ABCDE primary survey: airway (jaw-thrust), breathing (ventilation), circulation (IV access), disability (Glasgow Coma Scale), and exposure (remove clothing).
Question 5 of 5
A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
Correct Answer: D
Rationale: Non-maleficence, the duty to do no harm, supports withholding medication if the nurse believes it may hasten death, prioritizing harm avoidance.