ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?
Correct Answer: B
Rationale: Tertiary prevention focuses on managing and treating existing conditions to prevent complications and further deterioration. Providing treatment for clients with chronic obstructive pulmonary disease aligns with this level by aiming to minimize the impact of the disease and prevent exacerbations. Testing new nurses for exposure to tuberculosis (
A) is an example of primary prevention as it aims to prevent the initial occurrence of the disease. Performing screening for sexually transmitted infections (
C) falls under secondary prevention, which aims to detect and treat diseases in early stages. Administering influenza immunizations (
D) is considered primary prevention as it aims to prevent the occurrence of influenza.
Question 2 of 5
A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Administer antibiotic therapy. Anthrax is a bacterial infection that can be treated effectively with antibiotics such as ciprofloxacin or doxycycline. Administering antibiotics promptly can prevent the development of severe symptoms and improve the prognosis for those exposed. Treating clients with an antitoxin (choice
A) is not the appropriate action as anthrax is caused by bacteria, not toxins. Initiating client decontamination (choice
C) is important but not the immediate priority; administering antibiotics takes precedence. Placing clients in isolation (choice
D) may be necessary to prevent the spread of infection but does not address the primary need for antibiotic treatment.
Question 3 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 4 of 5
A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Correct Answer: D
Rationale: The correct answer is D because positioning the infant in a supine position while administering medication can increase the risk of choking or aspiration. The ideal position for administering oral medication to an infant is in an upright or semi-upright position to prevent these risks. Administering medication with an oral syringe (
A), inserting medication in the buccal cavity (
B), and allowing the infant to swallow some medication before administering more (
C) are all appropriate techniques for administering oral medication to infants. By positioning the infant in a supine position, the parent is not following the safe practice for administering oral medication to infants, hence indicating a need for further instruction.
Question 5 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.