ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Rinsing the mouth with water after each dose of inhaled beclomethasone helps minimize local side effects such as oral candidiasis (thrush) or dysphonia (hoarseness) by reducing the amount of medication left in the mouth, thereby decreasing the risk of adverse effects.
Question 2 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Reviewing the events leading to each error is the first step to identify root causes and patterns, enabling targeted interventions. Competency exams, in-services, or programs should follow this analysis.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Fluid overload leads to increased heart rate, respiratory rate, and blood pressure due to compensatory mechanisms and increased circulating volume. Hematocrit decreases due to hemodilution, and temperature is not typically affected.
Question 4 of 5
A client in the bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Moving clients from the smoldering fire ensures their safety from smoke inhalation or burns, making it the priority action.
Question 5 of 5
A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: C
Rationale: Lowering the height of the solution container reduces the flow rate of the enema solution, which can help alleviate abdominal cramps by slowing the rate of distension of the bowel. Slowing the infusion rate allows the client's colon to accommodate to the enema more comfortably.