ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. Shopping and performing personal errands for the client is prohibited in the nurse’s job description. Which of the following is an appropriate nursing response?
Correct Answer: D
Rationale: Exploring alternative resources like delivery services respects professional boundaries while addressing the client’s needs. Offering to shop violates policy, waiting is impractical, and citing personal reasons lacks empathy.
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: Prednisone can cause potassium loss, leading to hypokalemia. Eating more bananas, which are high in potassium, can help counteract this effect and maintain normal potassium levels (3.5 to 5.0 mEq/L). Taking aspirin increases the risk of gastrointestinal bleeding, a sore throat is not a typical side effect, and live vaccines like the flu vaccine should be avoided within one week of starting prednisone due to immune suppression.
Question 3 of 5
A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client’s level of strength?
Correct Answer: D
Rationale: Pushing feet against the nurse’s palms objectively assesses lower extremity strength, essential for safe ambulation. Pedal pulses check circulation, self-reported strength is subjective, and finger-to-nose tests coordination.
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: Positioning the infant supine increases aspiration risk during medication administration. Using an oral syringe, buccal cavity, and allowing swallowing are safe practices. Infants should be upright or semi-upright.
Question 5 of 5
A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?
Correct Answer: D
Rationale: A heart rate of 46/min indicates bradycardia, and atenolol (a beta-blocker) could worsen it, risking severe complications. Normal oxygen saturation, respiratory rate, and high blood pressure are not contraindications.