ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 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 2 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.
Question 3 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 4 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: D
Rationale: The correct answer is D: Nausea and vomiting. Peritonitis is inflammation of the peritoneum, which can occur in peritoneal dialysis. Nausea and vomiting are common symptoms due to irritation of the peritoneum. Increased urinary output (
A) is not a typical manifestation of peritonitis. Hyperactive bowel sounds (
B) are more indicative of gastrointestinal issues, not peritonitis. Bradycardia (
C) is not a common symptom of peritonitis. In summary, nausea and vomiting are key signs of peritonitis, while the other options are not typically associated with this condition.
Question 5 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.