ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of an acute hemolytic reaction?
Correct Answer: C
Rationale: The correct answer is C: Client report of low back pain. This is indicative of an acute hemolytic reaction during a blood transfusion. Hemolysis of red blood cells can lead to the release of hemoglobin, causing back pain. A productive cough (choice
A) is more likely to be associated with fluid overload. Distended neck veins (choice
B) can indicate fluid overload or heart failure. Tinnitus (choice
D) can be a sign of salicylate toxicity or ototoxicity but is not directly related to a hemolytic reaction.
Question 2 of 5
A nurse is planning on teaching a client who is scheduled for an IVP. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: After the procedure, you will be encouraged to drink plenty of fluids. This is important because after an Intravenous Pyelogram (IVP), the contrast dye used can be nephrotoxic, and increasing fluid intake helps to flush out the dye and prevent kidney damage. Encouraging the client to drink plenty of fluids will help protect their kidneys.
Choice A is incorrect because the presence of red blood cells in the urinalysis is not a contraindication for an IVP.
Choice B is incorrect because the client may need to follow specific dietary restrictions before and after the test.
Choice C is incorrect because high-frequency sound waves are used in ultrasound, not in an IVP.
Question 3 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 4 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: D
Rationale: The correct answer is D: Family history. Urolithiasis, also known as kidney stones, can have a genetic component, making a family history a significant risk factor. Individuals with a family history of kidney stones are more likely to develop them themselves. Diuretic use (
A) can contribute to stone formation but is not as directly linked as family history. A BMI less than 25 (
B) is not a direct risk factor for urolithiasis. Hypocalcemia (
C) may increase the risk of certain types of stones, but it is not a universal risk factor.
Question 5 of 5
A nurse is assessing a client who reports an increase in anxiety. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: Tell me what has been happening lately. This response demonstrates active listening and allows the client to express their concerns, facilitating a therapeutic relationship. A is incorrect as it dismisses the client's feelings. C is premature without assessing the situation further. D may invalidate the client's feelings.