ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?
Correct Answer: D
Rationale: Medication reconciliation prevents adverse medication reactions by ensuring accurate medication lists, enhancing patient safety.
Question 2 of 5
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?
Correct Answer: C
Rationale: Offering the child a choice of taking the medication with juice or water empowers the child by giving them a sense of control and autonomy, increasing cooperation. Deceiving the child by saying it's candy or hiding it in ice cream can undermine trust, and threatening with a shot may induce fear.
Question 3 of 5
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: D
Rationale: An abnormally prominent U wave is a classic EKG finding in hypokalemia, as it prolongs the repolarization phase. Inverted P waves, wide QRS, and elevated ST segments are not typically associated with hypokalemia.
Question 4 of 5
A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select?
Correct Answer: B
Rationale: The median vein in the forearm is preferred for older adults due to its accessibility and lower risk of complications compared to smaller veins like the radial or dorsal metacarpal veins. The antecubital vein is more suitable for acute situations.
Question 5 of 5
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Crushing enteric-coated aspirin would bypass its delayed-release mechanism, releasing the medication all at once and increasing the risk of gastric irritation. This response accurately explains the issue.