ATI RN
ATI Capstone Exam 2 Final Questions
Question 1 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don’t know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I’m hearing that you are concerned that it might turn out that you have cancer." This response shows empathy and active listening by acknowledging the client's fear without dismissing it. It validates the client's feelings and opens up communication for further discussion and support. Option A is incorrect because it may come off as confrontational and dismissive. Option B is incorrect as it simply denies the client's worry without addressing the underlying emotion. Option D is inappropriate as it deflects the client's concern. It's essential to address the client's emotional needs in a sensitive manner during such a vulnerable time.
Question 2 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I should eat more bananas while taking this medication. Prednisone can cause potassium depletion, leading to potential side effects like muscle weakness and cramping. Bananas are a good source of potassium, so increasing intake can help prevent depletion.
Choice A is incorrect because aspirin should be avoided due to its potential to increase the risk of gastrointestinal bleeding when taken with prednisone.
Choice B is incorrect as a sore throat is not a common side effect of prednisone.
Choice C is incorrect as there is no specific timing requirement for the flu vaccine in relation to starting prednisone.
Question 3 of 5
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because vaccination against smallpox provides lifelong immunity. This is true as the smallpox vaccine has been proven to provide long-lasting protection against the disease. Other choices are incorrect because: A is incorrect as smallpox has been eradicated globally since 1980, so there are no rare occurrences. B is incorrect as smallpox lesions progress through distinct stages, not various stages of healing. C is incorrect as smallpox lesions are more abundant on the body, not just the face.
Question 4 of 5
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension?
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Lisinopril (
A) is an ACE inhibitor known to cause orthostatic hypotension. Furosemide (
D) is a loop diuretic that can lead to fluid loss and subsequent hypotension. Doxazosin (E) is an alpha-blocker that can cause vasodilation, leading to orthostatic hypotension in older adults. Clopidogrel (
B) is an antiplatelet agent and Atorvastatin (
C) is a statin, which are not typically associated with orthostatic hypotension in older adults.
Question 5 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct
Answer: D - Hyperpigmentation
Rationale: Addison's disease is characterized by adrenal insufficiency, leading to decreased cortisol production. Hyperpigmentation is a classic sign due to elevated ACTH levels stimulating melanocytes. Intention tremors (
A), purple striations (
B), and hirsutism (
C) are not typical findings in Addison's disease. Hyperpigmentation is the most indicative of adrenal insufficiency in this scenario.