ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
Correct Answer: A
Rationale: Running outdoors, especially in hot weather, can lead to dehydration and increased sweating, reducing lithium excretion and increasing the risk of lithium toxicity.
Question 2 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? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Cleansing the skin, applying the cream an hour prior, using a pain scale, and applying to intact skin ensure effective pain relief. Applying to both forearms is unnecessary unless specified.
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 in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and the growing uterus, and it may recur late in pregnancy as the fetus presses on the bladder. This response accurately describes the pattern.
Question 5 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.)
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).