ATI RN
ATI Nursing 4650 Comprehensive Exam Questions
Extract:
Question 1 of 5
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: D
Rationale: Ensuring the AP has the necessary knowledge and skill to perform the task safely and effectively is critical for patient safety and aligns with the right task and right person in the five rights of delegation.
Question 2 of 5
When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: D
Rationale: Ensuring the AP has the necessary knowledge and skill to perform the task safely and effectively is critical for patient safety and aligns with the right task and right person in the five rights of delegation.
Question 3 of 5
A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Facial grimacing, eye blinking, involuntary pelvic rocking, hip thrusting, tongue thrusting, and lip smacking are signs of tardive dyskinesia, a side effect of long-term haloperidol use. Fine hand tremors indicate and urinary retention are not typically associated with tardive dyskinesia.
Question 4 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Flow rate = (250 mL / 120 min) x 15 gtts/mL = 31.25 gtts/min, rounded to 31 gtts/min.
Question 5 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?
Correct Answer: C
Rationale: Rifampin causes red-orange discoloration of bodily fluids, including urine, which is harmless but can be alarming. Black stools, teeth staining, and constipation are not typical side effects.