ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Infuse the medication with an IV pump. Theophylline requires precise dosing and continuous monitoring due to its narrow therapeutic range. Using an IV pump ensures accurate infusion rate, reducing the risk of medication errors. Administering a test dose (
A) is unnecessary for theophylline. Covering the IV container with dark paper (
C) is not relevant. Infusing the medication at 35 mg/min (
D) may exceed safe limits and cause adverse effects.
Question 2 of 5
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg. This finding should be reported to the provider because it indicates a significant decrease in blood pressure, which could be a sign of hypotension or other cardiovascular complications post-surgery. Hypotension can lead to decreased perfusion to vital organs and tissues, potentially causing serious complications. The other choices (A, B, and
C) involve changes that are within a normal range for a postoperative patient and do not pose immediate risks to the client's well-being. Reporting the correct finding promptly allows for timely intervention and prevents further complications.
Question 3 of 5
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client’s history?
Correct Answer: B
Rationale: The correct answer is B: Gallstones. Acute pancreatitis is commonly caused by gallstones blocking the pancreatic duct. This leads to inflammation of the pancreas. Hyperlipidemia (
A) is a risk factor for chronic pancreatitis, not acute. COPD (
C) and Diabetes mellitus (
D) are not directly associated with acute pancreatitis. In summary, the nurse should anticipate finding gallstones in the client's history due to its direct link to acute pancreatitis.
Question 4 of 5
A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?
Correct Answer: D
Rationale: The correct answer is D:
Tomato juice.
Tomato juice contains vitamin C, which enhances the absorption of nonheme iron. Vitamin C helps to convert nonheme iron into a more absorbable form, increasing the body's ability to take in iron from plant-based sources. Tea (
A) contains compounds that can inhibit iron absorption. Dried beans (
B) contain phytates that can reduce iron absorption. Milk (
C) contains calcium which can inhibit iron absorption.
Therefore, the best recommendation for enhancing iron absorption when consuming nonheme iron is to include foods rich in vitamin C, such as tomato juice.
Question 5 of 5
A nurse is caring for a 10-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Tell me more about how you are feeling about your son’s activities." This response demonstrates active listening and empathy, allowing the mother to express her concerns and fears regarding her son's activities. By encouraging open communication, the nurse can address the mother's specific worries and provide appropriate education and support.
Choice A does not address the mother's concerns directly, choice B is dismissive of the mother's feelings, and choice D suggests an extreme solution without exploring the mother's perspective. Overall, choice C is the most therapeutic as it focuses on understanding the mother's emotions and can help build trust and collaboration between the nurse and the mother in managing the child's diabetes.