ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client 15 minutes after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Respiratory rate 8/min. Morphine sulfate is an opioid that can cause respiratory depression as an adverse effect. A respiratory rate of 8/min is significantly below the normal range (12-20/min) and indicates respiratory depression, a serious adverse effect of morphine. This finding requires immediate intervention to prevent further complications such as respiratory arrest.
Choice A (Sleepy, but arousing when her name is called) is a common side effect of morphine but not necessarily an adverse effect requiring immediate intervention.
Choice C (Pain level of 6 on a scale from 0 to 10) is not indicative of an adverse effect of morphine.
The other choices are not provided, but they would be incorrect as they do not indicate a serious adverse effect of morphine sulfate.
Question 2 of 5
A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Using handrails in the bathroom promotes safety by providing support and stability, reducing the risk of falls. This indicates an understanding of fall prevention.
Choice B about a longer telephone cord is unrelated to fall prevention.
Choice C increases the risk of tripping over cords.
Choice D suggests using chairs without armrests can affect stability and increase the risk of falls.
Question 3 of 5
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Drink 2 to 3 liters of water per day. Methotrexate is a medication that can cause kidney damage and dehydration. Increasing water intake helps to prevent kidney damage and maintain proper hydration levels. The other choices are incorrect because rinsing with an alcohol-based mouthwash can irritate the mouth and cause dryness (
A), taking methotrexate with an NSAID can increase the risk of side effects and interactions (
B), and taking an antiemetic 1 hour following administration does not address the hydration needs of the client (
C).
Question 4 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: The correct answer is D: Heart rate 46/min. Atenolol is a beta-blocker that slows down heart rate. A heart rate of 46/min indicates bradycardia, which is a contraindication for administering atenolol. Oxygen saturation of 95% (
A) is within normal range, respiratory rate of 18/min (
B) is also normal, and blood pressure of 160/94 mm Hg (
C) may be high but not a reason to withhold atenolol. In summary, bradycardia is the key factor in withholding atenolol, as it can further decrease heart rate and lead to adverse effects.
Question 5 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.