ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Decrease the infusion rate. Flushing of the neck and tachycardia are signs of red man syndrome, a common adverse reaction to vancomycin. Decreasing the infusion rate can help minimize the severity of the reaction. Changing the IV site or applying cold compresses are not appropriate interventions for this specific reaction. Documenting an anaphylactic reaction without confirmation is premature and can lead to misinformation in the client's medical record.
Question 2 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is important for preventing postoperative complications like deep vein thrombosis (DVT) by promoting circulation in the lower extremities. Discussing the visitation policy (
A) is not directly related to preventing postoperative complications. Teaching the client how to use the PCA pump (
C) is important for pain management but not specifically for preventing complications. Reviewing the pain scale (
D) is crucial for pain assessment but does not directly address postoperative complications.
Question 3 of 5
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: "I should eat a snack half an hour before playing soccer."
Rationale:
1. Timing of snack: Eating a snack before physical activity helps prevent hypoglycemia during exercise.
2. Specific activity mentioned: Playing soccer can lead to rapid glucose consumption, making a pre-activity snack crucial.
3. Shows understanding: Recognizing the need for a pre-exercise snack indicates awareness of managing blood sugar levels during physical activity.
Incorrect
Choices:
B: Morning glucose range is correct, but it doesn't demonstrate understanding of immediate actions.
C: Skipped insulin during sickness can lead to DKA, not recommended.
D: Insulin should be stored in the fridge, not freezer, to maintain stability.
E, F, G: No information provided.
In summary, choice A is correct as it addresses a specific scenario and demonstrates understanding of managing blood sugar levels during physical activity. Other choices lack specificity or may lead to incorrect actions.
Question 4 of 5
A nurse is teaching a client about the uses of chamomile. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Chamomile may act as a calming agent. Chamomile is commonly used for its calming and relaxing properties, making it beneficial for reducing stress, anxiety, and promoting sleep. It is often consumed as a tea or used in aromatherapy for its soothing effects.
Summary of why other choices are incorrect:
B: Chamomile does have anti-inflammatory properties, but they are more commonly used for skin conditions like eczema and dermatitis, not cholesterol.
C: Chamomile is not known to decrease cholesterol levels.
D: Chamomile is commonly used to reduce nausea and vomiting, but the primary use is as a calming agent.
Question 5 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.