ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction. It presents as raised, itchy welts on the skin. This is a classic symptom of an allergic response to medication like oxacillin. Dark urine (
A) is more indicative of liver issues, diarrhea (
B) can be a side effect of many medications, and fever (
D) can be a sign of infection rather than an allergic reaction.
Question 2 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 3 of 5
A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?
Correct Answer: A
Rationale: Bedtime rituals create security and promote sleep. Evening play stimulates, explaining fears is less effective, and complete darkness may scare the toddler; a nightlight is better.
Question 4 of 5
A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The Jackson-Pratt drain is used to prevent fluid accumulation in the wound post-surgery, reducing the risk of infection and promoting healing. It helps to remove excess fluid and prevents seroma formation. Other
Choices:
A) Incorrect - Wound irrigations may still be necessary for wound care.
B) Incorrect - While the drain may help reduce bleeding, its primary purpose is fluid drainage.
D) Incorrect - The JP drain is not used for medication administration.
Question 5 of 5
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Correct Answer: B
Rationale: The correct answer is B: Localized edema. Acute osteomyelitis is an infection of the bone that can result from a puncture wound. Localized edema is a common manifestation due to the inflammatory response in the affected area. Hypothermia, numbness of toes, and bradycardia are not typical manifestations of acute osteomyelitis. Hypothermia is more commonly associated with severe infections or sepsis. Numbness of toes may indicate nerve damage rather than bone infection. Bradycardia is a slow heart rate and is not directly related to osteomyelitis.