ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse educator is teaching a class about medication reconciliation. Which of the following information should the nurse educator include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Provide a list of the client’s current medications during admission to a health care facility. This is essential for ensuring continuity of care and patient safety. During admission, healthcare providers need to know the client's current medications to avoid drug interactions, duplications, or omissions. This information helps in creating an accurate medication list to guide treatment decisions.
A: Providing a list of current medications during shift change is important but not directly related to medication reconciliation during admission.
B: Not performing reconciliation at discharge is incorrect as it is a crucial step in ensuring a smooth transition of care.
D: Including only prescription medications is incorrect as over-the-counter medications, supplements, and herbal remedies should also be included for comprehensive reconciliation.
Question 2 of 5
A nurse is triaging victims of a multiple motor vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse of 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place a black tag on the client's upper body and attempt to help the next client in need. In a multiple casualty incident, the concept of triage is crucial to prioritize care. The client in this scenario is apneic despite repositioning the airway, indicating a poor prognosis. Placing a black tag signifies that the client is not breathing and has no pulse, and resources should be allocated to those with a higher chance of survival. This decision maximizes the overall number of lives saved.
Choice A is incorrect because further repositioning will not change the client's status.
Choice B is incorrect as placing a red tag is reserved for clients with immediate life-threatening injuries but still have a chance of survival.
Choice D would be inappropriate as CPR is not indicated when the client does not have a pulse.
Question 3 of 5
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I may have a dry mouth while taking this medication." This is correct because chlorpromazine is an antipsychotic medication known to cause dry mouth as a common side effect due to its anticholinergic properties. Dry mouth is a potential adverse effect that the client should be aware of.
Choice B is incorrect because chlorpromazine does not typically cause increased urination.
Choice C is incorrect because chlorpromazine is not indicated for smoking cessation.
Choice D is incorrect because flu-like symptoms are not a common side effect of chlorpromazine.
Question 4 of 5
A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Weigh the client daily. This is important because chlorpromazine, an antipsychotic medication, can cause weight gain as a side effect. Daily weighing can help monitor for any significant changes in weight, which may indicate potential metabolic side effects. Monitoring for signs of bleeding (
B) is not directly related to chlorpromazine use. Respiratory monitoring (
C) is not a priority for this medication. Administering an antacid (
D) does not directly relate to the client's safety or medication effectiveness.
Question 5 of 5
A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Withhold oral fluids and food. In acute pancreatitis, the priority intervention is to rest the pancreas by withholding oral intake to reduce pancreatic stimulation and prevent further inflammation and digestive enzyme release. This is crucial in managing the condition and preventing complications. Auscultating the lungs (
B) is important but not the priority in this case. Providing oral hygiene (
C) and assisting the client to a side-lying position (
D) are not directly related to managing acute pancreatitis.