ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Take the missed dose now, then continue the medication as ordered. In the first week of a 28-day cycle pack, missing one pill does not significantly impact contraceptive efficacy. Taking the missed dose as soon as possible and then continuing the medication as prescribed maintains the contraceptive effectiveness.
Choice A is incorrect as stopping the pills abruptly can lead to unintended pregnancy.
Choice B is unnecessary as missing one pill does not automatically indicate pregnancy.
Choice C is not relevant in this context as the client can still take the missed dose and continue with the contraceptive method.
Question 2 of 5
A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. Tardive dyskinesia is a common adverse effect of long-term antipsychotic medication use, such as chlorpromazine. It is characterized by involuntary movements of the tongue and face. This condition is often irreversible and can be distressing for the client. Akathisia (choice
A) is a different extrapyramidal side effect characterized by restlessness and the urge to move constantly. Dystonia (choice
C) is another extrapyramidal side effect that presents as sustained muscle contractions causing abnormal postures. In this case, the symptoms described in the question are more indicative of tardive dyskinesia due to the specific type of involuntary movements observed in the client.
Question 3 of 5
Correct Answer:
Rationale: Question: Which of the following is an example of a renewable energy source?
Choices:
A: Coal
B: Natural gas
C: Solar
D: Nuclear
E: Oil
F: Biomass
G: Hydroelectric
Correct Answer: C (Solar)
Rationale:
1. Solar energy is derived from the sun and is an infinite resource.
2. Coal, natural gas, oil are non-renewable fossil fuels.
3. Nuclear energy relies on uranium, a finite resource.
4. Biomass is renewable but can contribute to deforestation.
5. Hydroelectric energy is renewable but requires altering ecosystems.
Summary:
Solar energy is the correct answer as it is a clean, sustainable, and abundant source of renewable energy, unlike the other choices which are either finite or have negative environmental impacts.
Question 4 of 5
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Take the missed dose now, then continue the medication as ordered. In the first week of a 28-day cycle pack, missing one pill does not significantly impact contraceptive efficacy. Taking the missed dose as soon as possible and then continuing the medication as prescribed maintains the contraceptive effectiveness.
Choice A is incorrect as stopping the pills abruptly can lead to unintended pregnancy.
Choice B is unnecessary as missing one pill does not automatically indicate pregnancy.
Choice C is not relevant in this context as the client can still take the missed dose and continue with the contraceptive method.
Question 5 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which of the following statements by the client indicates a need for clarification?
Correct Answer: B
Rationale: The correct answer is B: "I have to choose a family member as my health proxy." This statement indicates a need for clarification because it is incorrect. The client can choose any competent adult to be their health care proxy, not just a family member. This misconception may limit the client's options and understanding of their rights.
Incorrect choices:
A: This statement is correct as the health care proxy only goes into effect when the client is incapable of making decisions.
C: This statement is correct as the client can change their designated health care proxy at any time.
D: This statement is correct as the health care proxy will make end-of-life choices if the client becomes incapacitated.