ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client’s lung has re-expanded?
Correct Answer: C
Rationale: The correct answer is C: No fluctuations in the water seal chamber. This indicates that the client's lung has re-expanded because there is no longer any air leaking from the pleural space into the chest tube drainage system. Fluctuations in the water seal chamber typically indicate that there is still air escaping from the lung, suggesting ongoing lung collapse or a leak in the system.
Choices A, B, and D do not directly indicate lung re-expansion and are more related to oxygenation, drainage system integrity, or pain management.
Question 2 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: D
Rationale: The correct answer is D: Low-sodium, fluid-restricted diet. In acute glomerulonephritis, the kidneys are unable to effectively remove excess sodium and fluid, leading to edema and reduced urine output. A low-sodium diet helps reduce fluid retention and prevent further edema. Fluid restriction is also crucial to prevent overload.
Choices A, B, and C do not specifically address the primary issue of fluid retention in glomerulonephritis. A low-protein diet is generally recommended in chronic kidney disease, not necessarily in acute glomerulonephritis. A regular diet with no added salt does not adequately address the need for sodium and fluid restriction in this case.
Question 3 of 5
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension?
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Lisinopril (
A) is an ACE inhibitor known to cause orthostatic hypotension. Furosemide (
D) is a loop diuretic that can lead to fluid loss and subsequent hypotension. Doxazosin (E) is an alpha-blocker that can cause vasodilation, leading to orthostatic hypotension in older adults. Clopidogrel (
B) is an antiplatelet agent and Atorvastatin (
C) is a statin, which are not typically associated with orthostatic hypotension in older adults.
Question 4 of 5
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I may have a dry mouth while taking this medication." This is correct because chlorpromazine is an antipsychotic medication known to cause dry mouth as a common side effect due to its anticholinergic properties. Dry mouth is a potential adverse effect that the client should be aware of.
Choice B is incorrect because chlorpromazine does not typically cause increased urination.
Choice C is incorrect because chlorpromazine is not indicated for smoking cessation.
Choice D is incorrect because flu-like symptoms are not a common side effect of chlorpromazine.
Question 5 of 5
A nurse is providing teaching to the parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Sliced bananas. Bananas are a good snack choice for toddlers due to their soft texture and easy digestibility. They are also a good source of potassium and dietary fiber. Raw celery (
A) may pose a choking hazard due to its stringy texture. Grapes (
B) should be cut into small pieces to prevent choking. Peanut butter (
C) can also be a choking hazard and may not be suitable for all toddlers due to potential allergies. Sliced bananas are a safe, nutritious, and easily manageable snack option for toddlers.