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ATI Nursing 4650 Comprehensive Exam Questions

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Question 1 of 5

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

Correct Answer: D

Rationale: Abdominal bloating is a common side effect of bowel cleansing preparations like PEG due to the large volume of fluid ingested and rapid bowel content movement. This is relevant information to include in the instructions.

Question 2 of 5

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer: C

Rationale: Heparin is an anticoagulant that prevents new clots from forming by inhibiting clotting factors, but it does not dissolve existing clots.

Question 3 of 5

A child is admitted with a suspected diagnosis of Wilms tumor. The nurse should place a sign with which of the following warnings over the child's bed?

Correct Answer: A

Rationale: Palpating the abdomen in a child with Wilms tumor risks rupturing the tumor capsule, potentially causing dissemination of cancer cells. This is the primary warning needed.

Question 4 of 5

A nurse is caring for a 2-month-old infant who is preoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Rocking or gentle movement can provide comfort to infants postoperatively and may help soothe them. It also promotes bonding between the infant and parents, which is important for emotional support during the recovery period.

Question 5 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.

Similar Questions

A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?

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