ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?
Correct Answer: B
Rationale: The correct answer is B because the heroic phase of disaster response is characterized by personnel willingly working in dangerous conditions to provide assistance. During this phase, individuals display selflessness, courage, and a strong sense of duty to help others in need. This phase typically follows the initial shock of the disaster and precedes the disillusionment phase.
Choices A, C, and D do not specifically describe the heroic phase.
Choice A refers to the recovery phase, where normalcy begins to return.
Choice C describes the exhaustion phase, where responders may experience fatigue.
Choice D refers to the communal support phase, where survivors come together to share their experiences.
Question 2 of 5
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
Correct Answer: D
Rationale: The correct answer is D: Identify the problem. The first step in resolving any conflict is to understand the root cause. By identifying the problem, the nurse manager can gather relevant information, clarify misunderstandings, and determine the underlying issues causing the conflict between the pharmacy and staff nurses. This step is crucial in developing an effective resolution strategy.
A: Implement a resolution - Without identifying the problem first, implementing a resolution may not address the true issue, leading to a temporary fix or exacerbating the conflict.
B: Evaluate the results - This step comes after implementing a resolution, not before identifying the problem.
C: Brainstorm solutions - Brainstorming solutions is important, but it should come after identifying the problem to ensure that the solutions address the root cause of the conflict.
Question 3 of 5
A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: The correct answer is D: Prepare to administer oxytocic medication. This is the priority nursing intervention because the client is experiencing excessive postpartum bleeding, known as hemorrhage. Oxytocic medication helps to contract the uterus, reducing bleeding. Palpating the client's uterine fundus is important to assess uterine tone, but administering oxytocic medication takes precedence in this urgent situation. Assisting the client on a bedpan to urinate is not the priority as addressing the hemorrhage is more urgent. Increasing fluid intake may be beneficial but does not directly address the hemorrhage.
Question 4 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: A
Rationale: The correct answer is A: Adopt a neutral attitude when providing care. This approach is appropriate because it allows the nurse to establish trust and build rapport with the suspicious client without overwhelming them. Being neutral helps to convey non-judgmental and non-threatening behavior, which is essential in gaining the client's trust. Waiting for the client to initiate interaction (
B) may lead to prolonged periods of mistrust. Disclosing personal information (
C) can blur professional boundaries and may further increase the client's suspicion. Approaching the client frequently (
D) may be perceived as invasive and could escalate the client's distrust.
Therefore, adopting a neutral attitude is the most suitable approach in this situation.
Question 5 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: D
Rationale: The correct answer is D because the situation involves a potential harm to a client, which is a critical incident requiring documentation. The missing dentures can impact the client's ability to eat or speak, posing a risk to their well-being. Completing an incident report ensures the issue is addressed, investigated, and preventive measures are implemented to avoid future occurrences.
Choices A, B, and C do not directly involve harm to a client and can be addressed through other means without the need for an incident report.