ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The Jackson-Pratt drain is used to prevent fluid accumulation in the wound post-surgery, reducing the risk of infection and promoting healing. It helps to remove excess fluid and prevents seroma formation. Other
Choices:
A) Incorrect - Wound irrigations may still be necessary for wound care.
B) Incorrect - While the drain may help reduce bleeding, its primary purpose is fluid drainage.
D) Incorrect - The JP drain is not used for medication administration.
Question 2 of 5
A nurse is caring for a client who has a Jackson-Pratt drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The Jackson-Pratt drain is used to prevent fluid accumulation in the wound post-surgery, reducing the risk of infection and promoting healing. It helps to remove excess fluid and prevents seroma formation. Other
Choices:
A) Incorrect - Wound irrigations may still be necessary for wound care.
B) Incorrect - While the drain may help reduce bleeding, its primary purpose is fluid drainage.
D) Incorrect - The JP drain is not used for medication administration.
Question 3 of 5
A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,D,E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Applying intermittent ice helps reduce inflammation and pain in the initial 48 hours post-injury.
B: Wrapping the ankle with a compression bandage provides support and helps reduce swelling.
D: Elevating the ankle above the heart helps reduce swelling by promoting fluid drainage.
E: Applying heat after 48 hours can help promote blood flow and aid in healing, but should not be used during the acute phase due to potential exacerbation of inflammation.
Incorrect
Choices:
C: Full weight-bearing is not recommended initially as it can worsen the injury.
Summary: The correct instructions focus on reducing swelling and pain, providing support, and promoting healing while avoiding actions that may exacerbate inflammation or worsen the injury.
Question 4 of 5
A nurse is caring for a client who has Cushing’s syndrome. The nurse should recognize that which of the following are manifestations of Cushing’s syndrome?
Correct Answer: B,C,D,E
Rationale: The correct manifestations of Cushing's syndrome are Buffalo hump (accumulation of fat between the shoulders), Moon face (rounding and reddening of the face), Hypertension (due to cortisol's effects on blood pressure regulation), and Purple striae (stretch marks due to skin thinning). Tremors are not typically associated with Cushing's syndrome. It is crucial for the nurse to recognize these specific manifestations to provide appropriate care and monitoring for the client with Cushing's syndrome.
Question 5 of 5
A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?
Correct Answer: D
Rationale: The correct answer is D: Prepare to administer oxytocic medication. This is the priority nursing intervention because the client is experiencing excessive postpartum bleeding, known as hemorrhage. Oxytocic medication helps to contract the uterus, reducing bleeding. Palpating the client's uterine fundus is important to assess uterine tone, but administering oxytocic medication takes precedence in this urgent situation. Assisting the client on a bedpan to urinate is not the priority as addressing the hemorrhage is more urgent. Increasing fluid intake may be beneficial but does not directly address the hemorrhage.