ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (G85). Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale: The nurse should ask about recent influenza infection (
Choice
A) because Guillain-Barré syndrome is often preceded by a viral illness, such as influenza. This information is crucial for diagnosis and treatment. Travel history (
Choice
B) is less relevant as the cause is more likely viral. Chronic alcohol abuse (
Choice
C) and multivitamin use (
Choice
D) are not directly related to Guillain-Barré syndrome.
Question 2 of 5
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
Correct Answer: B
Rationale: The correct answer is B. The nurse should be concerned because squinting to see the board may indicate vision problems, such as nearsightedness or astigmatism, which can affect the child's learning and development. The other choices are not as concerning: A is a common behavior in children, C is a normal developmental milestone, and D is a typical behavior in board games at this age.
Question 3 of 5
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Providing written information about the medication is crucial for the caregiver to have a reference. Explaining the reason for taking the medication ensures understanding and compliance. Describing the adverse effects helps the caregiver monitor for potential complications.
Choice A is incorrect because kitchen spoons are not accurate for measuring medication.
Choice E is incorrect because completing the full course is essential for treatment success.
Question 4 of 5
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: B
Rationale: The correct answer is B. The RN from the maternal-newborn unit would be most familiar with postoperative care, making them a suitable choice for the client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the RN's skill set and experience.
Choice A involves a client with a stroke, which requires specialized care beyond the RN's expertise.
Choice C involves a client with acute pancreatitis, which is typically managed by medical-surgical nurses with experience in gastrointestinal disorders.
Choice D involves a client with end-stage renal disease, which requires specialized renal care expertise. Thus, assigning the postoperative client to the RN is the most appropriate choice.
Question 5 of 5
A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Dilated scalp veins. In hydrocephalus, there is an accumulation of cerebrospinal fluid within the brain ventricles, leading to increased intracranial pressure. This pressure can cause dilation of scalp veins as a compensatory mechanism to help drain excess fluid. Overriding suture lines (
B) are associated with craniosynostosis, not hydrocephalus. Hypertension (
C) is not a typical manifestation of hydrocephalus. A backward sloping appearance of the forehead (
D) is seen in some genetic conditions like Down syndrome, not specifically in hydrocephalus.