ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an antiemetic. Nausea and vomiting are common side effects of morphine sulfate. Administering an antiemetic will help relieve these symptoms without interfering with the pain control provided by the PCA pump. Inserting a nasogastric tube (choice
A) is not indicated as there is no indication of bowel obstruction. Auscultating bowel sounds (choice
C) is not the priority in this situation. Encouraging the client to ambulate (choice
D) may help with bowel motility but addressing the nausea and vomiting is the immediate concern.
Question 2 of 5
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Breasts can be examined in the shower with soapy hands. This instruction is important because warm water and soap help to make the examination more comfortable and easier to detect any abnormalities. By examining the breasts in the shower, the individual can incorporate BSE into their routine without it feeling like a separate task. This method also allows for better coverage and thorough examination of the entire breast tissue.
Choice A is incorrect because using the palm of the hand in a circular motion may not be as effective in detecting lumps compared to using the fingertips.
Choice B is incorrect as breast dimpling or discharge are not normal signs of aging, and should be reported to a healthcare provider.
Choice D is incorrect as performing BSE at specific times in the menstrual cycle is not necessary.
Question 3 of 5
A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply.)
Correct Answer: C,D
Rationale: The correct answers are C and D.
Choice C is correct because botulism can indeed produce paralysis within 12 to 72 hours following exposure. This is crucial information for early detection and treatment.
Choice D is also correct because vomiting and diarrhea are not typical symptoms of botulism. The toxin primarily affects the nervous system, leading to symptoms such as muscle weakness and paralysis.
Choices A, B, and E are incorrect. Botulism is not acquired through direct contact with an infected person (
A), the CDC should be notified immediately upon suspicion of botulism, not after a certain number of cases (
B), and botulism toxin is not found in castor beans (E).
Question 4 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Remind the client he might feel a constant urge to void. After a transurethral resection of the prostate, continuous bladder irrigation is often used to prevent blood clots and ensure urine output. This procedure can cause the client to feel a constant urge to void due to the bladder being continuously filled and emptied.
Therefore, reminding the client about this sensation can help alleviate anxiety and discomfort.
Choice A: Restricting the client's oral fluid intake is incorrect because maintaining hydration is essential postoperatively to prevent complications such as dehydration and urinary retention.
Choice C: Weighing the client every evening is unnecessary and not directly related to the care of a client post transurethral resection of the prostate.
Choice D: Monitoring the client's urine output every 6 hours is important, but reminding the client about the sensation of constant urge to void takes priority in this scenario.
Question 5 of 5
Correct Answer:
Rationale: Question: What is the capital of France?
Choices:
A: London
B: Madrid
C: Rome
D: Paris
E: Berlin
F: Amsterdam
G: Brussels
Correct Answer: D: Paris
Rationale:
1. Paris is the capital of France, confirmed by its historical, cultural, and political significance.
2. London, Madrid, Rome, Berlin, Amsterdam, and Brussels are capitals of other European countries.
3. Selecting any choice other than Paris would be factually incorrect based on geography and global knowledge.