ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 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 during abdominal palpation suggests pain, which can alter behavior and communication in older adults. This is the most likely explanation given the physical response.
Question 2 of 5
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Applying ice to the affected area is a common postoperative instruction following knee surgery. Ice helps reduce swelling, inflammation, and pain. It is usually recommended for short intervals, such as 20 minutes every few hours, for the first 48 to 72 hours after surgery.
Question 3 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 4 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: A
Rationale: A CD4 T cell count of less than 200 cells/mm3 indicates severe immunosuppression in a client with HIV, increasing the risk of opportunistic infections, making it the priority laboratory value to monitor.
Question 5 of 5
A nurse is assessing a client who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Yellow-green drainage suggests the presence of infection, which is a concerning finding in a postoperative client. It may indicate purulent drainage, which requires further assessment and possibly treatment with antibiotics.