ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving metoprolol. Which of the following indicates a therapeutic effect?
Correct Answer: A
Rationale: The correct answer is A: Decreased blood pressure. Metoprolol is a beta-blocker that works by reducing heart rate and decreasing the workload on the heart, leading to a decrease in blood pressure. This is a therapeutic effect as it helps manage conditions like hypertension and angina.
Incorrect choices:
B: Decreased dysrhythmias - While metoprolol can help reduce dysrhythmias, the primary therapeutic effect is on blood pressure.
C: Increased urine output - Metoprolol does not directly affect urine output.
D: Decreased pulse - Decreasing pulse is a common side effect of metoprolol, but the therapeutic effect is primarily on blood pressure.
Question 2 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have a natural childbirth. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the client's feelings of disappointment and validates her emotions. It demonstrates empathy and understanding, which can help build trust and rapport with the client.
Choice A is incorrect as it may come off as dismissive or insensitive.
Choice C focuses on the baby, not the client's feelings.
Choice D is not relevant to the client's emotional concerns.
Question 3 of 5
A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?
Correct Answer: B
Rationale: The correct answer is B: Tardive dyskinesia. Tardive dyskinesia is a common adverse effect of long-term antipsychotic medication use, such as chlorpromazine. It is characterized by involuntary movements of the tongue and face. This condition is often irreversible and can be distressing for the client. Akathisia (choice
A) is a different extrapyramidal side effect characterized by restlessness and the urge to move constantly. Dystonia (choice
C) is another extrapyramidal side effect that presents as sustained muscle contractions causing abnormal postures. In this case, the symptoms described in the question are more indicative of tardive dyskinesia due to the specific type of involuntary movements observed in the client.
Question 4 of 5
A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "You should keep your provider’s and therapist’s number with you." This is the correct statement because having easy access to contact information for healthcare providers and therapists is crucial in case of a relapse. It allows the client to seek immediate help and support when needed.
Choice A is incorrect because relapse in schizophrenia can occur even with proper medication adherence.
Choice C is incorrect as taking additional medication without consulting a healthcare provider can be dangerous.
Choice D is incorrect as excessive sleeping may not always be a reliable early sign of relapse.
Question 5 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider of a weight gain of 0.5 kg (1 lb) in a week. This is crucial in heart failure management as sudden weight gain can indicate fluid retention, worsening heart failure, and the need for medication adjustment. Option A is incorrect as naproxen can worsen heart failure symptoms. Option C is incorrect as diuretics should be taken in the morning to prevent nighttime urination. Option D is incorrect as the frequency and intensity of exercise should be tailored based on the individual's condition.