ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: D
Rationale: Chronic kidney disease causes metabolic acidosis due to acid retention, shown by low pH (7.25) and low HCO3 (19 mEq/L).
Question 2 of 5
A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Talking the client through tasks one step at a time provides clear, structured guidance, which is beneficial for clients with Alzheimer's disease to reduce confusion and support task completion.
Question 3 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The presence of lochia rubra, small clots, and a firm, midline fundus indicates normal postpartum uterine involution, so documenting and monitoring is appropriate unless signs of hemorrhage appear.
Question 4 of 5
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
Correct Answer: C
Rationale: The statement about the child squinting to see the board raises concern about potential visual impairment, which may require further assessment by an eye care professional.
Question 5 of 5
A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 175.0 mg
Rationale: Dosage calculation: 50 mg/kg × 3.5 kg (3500 g / 1000) = 175 mg, rounded to 175.0 mg per dose.