ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Recognizing that the ostomy is temporary indicates an understanding of the surgical management of Hirschsprung disease, as many children require a temporary ostomy with the possibility of eventual bowel anastomosis.
Question 4 of 5
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Diluting each medication with 10 mL of tap water prevents tube occlusion and ensures proper administration. Other options risk aspiration, drug interactions, or inadequate flushing.
Question 5 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client talks about this type of advance directives. Which of the following statements by the client indicates a need for clarification?
Correct Answer: B
Rationale: The client does not have to choose a family member as their health care proxy; they can select any trusted individual. This statement requires clarification to ensure the client understands their autonomy in choosing a proxy.