ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Walking with the client at a slower pace provides support and helps de-escalate anxiety through therapeutic engagement.
Question 2 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 3 of 5
A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?
Correct Answer: D
Rationale: Alendronate must be administered on an empty stomach at least 30 minutes before breakfast with a full glass of water to ensure adequate absorption and minimize esophageal irritation.
Question 4 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 5 of 5
A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching?
Correct Answer: B
Rationale: Medications for Raynaud's disease, such as calcium channel blockers, are typically taken regularly to prevent attacks, not at the first sign of symptoms. This statement indicates a need for further education on proper medication use.