ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is allergic to penicillin. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: D
Rationale: The correct answer is D: Amoxicillin-clavulanate. This is the best choice because it is a combination antibiotic that does not contain penicillin. Amoxicillin-clavulanate is a suitable alternative for patients allergic to penicillin.
Choice A (Erythromycin) is an acceptable choice as it is not related to penicillin.
Choice B (Gentamicin) is not a suitable alternative for penicillin allergy.
Choice C (Amphotericin
B) is an antifungal agent and not an antibiotic. Other choices are not provided. In summary, the nurse should clarify the prescription for Amoxicillin-clavulanate with the provider to ensure the child's safety due to penicillin allergy.
Question 2 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 3 of 5
A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?
Correct Answer: B
Rationale: The correct answer is B because the heroic phase of disaster response is characterized by personnel willingly working in dangerous conditions to provide assistance. During this phase, individuals display selflessness, courage, and a strong sense of duty to help others in need. This phase typically follows the initial shock of the disaster and precedes the disillusionment phase.
Choices A, C, and D do not specifically describe the heroic phase.
Choice A refers to the recovery phase, where normalcy begins to return.
Choice C describes the exhaustion phase, where responders may experience fatigue.
Choice D refers to the communal support phase, where survivors come together to share their experiences.
Question 4 of 5
A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Check that the client lifts the walker and then places it down in front of her.
Rationale: This action is correct because it ensures the client is using the walker properly to provide support and stability while walking. Lifting the walker before moving it forward helps prevent tripping over obstacles and ensures proper weight distribution. Placing it down in front of her also helps maintain balance and control during ambulation.
Summary of other choices:
A: Walking in front of the client may cause confusion and hinder the client's ability to maneuver the walker independently.
B: Ensuring the upper bar of the walker is level with the client's waist is important, but it is not the most critical action for the client's safety and proper use of the walker.
C: Having the client move one leg forward with the walker is a common ambulation technique but does not specifically address the proper use of the walker.
Question 5 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client’s neurovascular status?
Correct Answer: B
Rationale: The correct answer is B: Palpate the femoral pulse. When assessing neurovascular status in a client with an unrepaired femur fracture, palpating the femoral pulse is crucial to determine adequate circulation to the lower limb. Absence of the femoral pulse may indicate compromised blood flow, which is a medical emergency requiring immediate intervention. Monitoring calf for edema (
A) is more related to venous status rather than neurovascular assessment. Measuring thigh circumference (
C) does not directly assess neurovascular status. Instructing the client to wiggle his toes (
D) assesses motor function, not neurovascular status.