ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Perform a neurovascular assessment. This is the priority action because it ensures circulation and nerve function are intact, preventing complications like compartment syndrome. Explanation of discharge instructions (
A) is important but not the priority. Providing reassurance (
C) is supportive but not urgent. Applying an ice pack (
D) can cause skin damage due to decreased sensation.
Question 4 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: A
Rationale: The correct answer is A: Adopt a neutral attitude when providing care. This approach is appropriate because it allows the nurse to establish trust and build rapport with the suspicious client without overwhelming them. Being neutral helps to convey non-judgmental and non-threatening behavior, which is essential in gaining the client's trust. Waiting for the client to initiate interaction (
B) may lead to prolonged periods of mistrust. Disclosing personal information (
C) can blur professional boundaries and may further increase the client's suspicion. Approaching the client frequently (
D) may be perceived as invasive and could escalate the client's distrust.
Therefore, adopting a neutral attitude is the most suitable approach in this situation.
Question 5 of 5
A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because avoiding contact with individuals who have received a live vaccine is crucial for a client with immunodeficiency to prevent exposure to potentially harmful pathogens. This is important as live vaccines contain weakened forms of the virus that can still cause infections in immunocompromised individuals.
Choice A is incorrect as white patches in the mouth could indicate a fungal infection, which may not be harmless in an immunodeficient individual.
Choice B is incorrect as a fever, even mild, could be a sign of infection that may be more severe in an immunodeficient client.
Choice D is irrelevant to immunodeficiency and does not impact the client's condition.