ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Correct Answer: C
Rationale: HIPAA restricts disclosing PHI to family members without patient consent, except in specific cases like emergencies or patient incapacitation.
Question 2 of 5
A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a local anesthetic, such as lidocaine, is the most appropriate action to alleviate pain at the insertion site of the IV catheter. Local anesthetics block nerve impulses in the area where they are applied, temporarily numbing the site and providing rapid pain relief.
Question 3 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.
Question 4 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 5 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.