ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: Washing clothing, bedding, and towels in hot water kills lice and eggs, preventing reinfestation. While being lice-free before school return and treating family members are important, they are less comprehensive. Throwing out toys is unnecessary if they can be sealed or cleaned.
Question 2 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 3 of 5
A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?
Correct Answer: B
Rationale: Recombinant factor VIII is the treatment of choice for hemophilia A, replacing deficient factor VIII to promote clot formation and prevent excessive bleeding during procedures like wisdom teeth extractions.
Question 4 of 5
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
Correct Answer: A
Rationale: The client's flinching when the nurse palpates his abdomen suggests that he may be experiencing pain. Pain can cause behavioral changes in older adults, including withdrawal, decreased verbal communication, and altered facial expressions. The client's inability to verbally communicate but ability to nod and smile in response to questions further supports the possibility of pain affecting his behavior.
Question 5 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.