ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements indicates the client understands the dietary teaching?
Correct Answer: B
Rationale: The correct answer is B because eating yogurt can help decrease gas due to its probiotic properties which aid in digestion. This statement shows the client understands dietary adjustments post-colostomy surgery.
Choice A is incorrect as meal distribution does not affect colostomy care.
Choice C is incorrect as carbonated beverages can worsen odor.
Choice D is incorrect as pasta is not necessarily a problematic food post-colostomy.
Question 2 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place a black tag on the client’s upper body and attempt to help the next client in need. In this scenario, the client is apneic despite repositioning the airway and has a weak pulse. The client's condition falls under "expectant" during triage, indicated by a black tag. The nurse should prioritize helping those who have a higher chance of survival first. Placing a black tag and moving on to assist others is essential to maximize the number of lives saved in a mass casualty event. Starting CPR (choice
C) may be futile if the client is trapped under a car with severe injuries.
Choice B, repositioning the airway again, is unlikely to change the client's apneic status.
Choice D, placing a red tag, is incorrect as this tag is typically used for immediate care cases.
Question 3 of 5
A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Administer an antiemetic prior to the procedure. This is important because chemotherapy often causes nausea and vomiting. Administering an antiemetic helps prevent or reduce these side effects, promoting client comfort and compliance with treatment.
Choice A is incorrect because dark stools are not a common side effect of chemotherapy for ovarian cancer.
Choice B is incorrect as using mouthwash before therapy may not be relevant to chemotherapy administration.
Choice D is incorrect as flossing frequency is not directly related to chemotherapy treatment.
Question 4 of 5
A nurse is caring for a client who has delusional behavior and states, 'I can’t go to group therapy today. I am expecting a high-level official to visit me.' The nurse responds, 'I understand, but it is time for group therapy and we expect everyone to attend. Let’s walk over together.' For which of the following reasons is the nurse’s response considered therapeutic?
Correct Answer: B
Rationale: The correct answer is B: It demonstrates empathy towards the client. By acknowledging the client's feelings and showing understanding, the nurse is building a therapeutic relationship based on empathy. This approach helps the client feel heard and validated, fostering trust and cooperation. The other choices are incorrect because:
A) while the response does articulate expectations, it does not address the client's emotions or perspective;
C) while setting limits is important, the response does not directly address manipulative behavior;
D) reflection involves paraphrasing or summarizing the client's thoughts, which is not evident in the nurse's response.
Question 5 of 5
A nurse working on a medical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Verify the client’s medication prescriptions do not include cephalosporin. This is essential because cephalosporins are antibiotics that share a similar structure to penicillin and can potentially cause an allergic reaction in individuals with a penicillin allergy. By ensuring that the client's medication prescriptions do not include cephalosporin, the nurse is taking a proactive step to prevent any adverse reactions.
Removing objects containing latex (choice
A) is not directly related to the client’s penicillin allergy. Notifying dietary services to adjust the client’s diet (choice
C) is unnecessary as the allergy is to penicillin, not food. Having the client purchase a medication alert bracelet (choice
D) is not as immediate or essential as verifying medication prescriptions.