ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Withhold oral fluids and food. In acute pancreatitis, the priority intervention is to rest the pancreas by withholding oral intake to reduce pancreatic stimulation and prevent further inflammation and digestive enzyme release. This is crucial in managing the condition and preventing complications. Auscultating the lungs (
B) is important but not the priority in this case. Providing oral hygiene (
C) and assisting the client to a side-lying position (
D) are not directly related to managing acute pancreatitis.
Question 2 of 5
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will take this medication 1 hour before meals and at bedtime." This answer demonstrates understanding because sucralfate works best when the stomach is empty, allowing it to form a protective layer over the ulcer site. Taking it before meals and at bedtime ensures maximum effectiveness.
Incorrect choices:
A: Taking sucralfate with an antacid can decrease its effectiveness by altering its pH.
B: Reducing fluid intake is not necessary with sucralfate and can lead to dehydration.
D: Taking sucralfate as needed will not provide consistent protection for the ulcer.
Question 3 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct Answer: D - Hyperpigmentation
Rationale: Addison's disease is characterized by adrenal insufficiency, leading to decreased cortisol production. Hyperpigmentation is a classic sign due to elevated ACTH levels stimulating melanocytes. Intention tremors (
A), purple striations (
B), and hirsutism (
C) are not typical findings in Addison's disease. Hyperpigmentation is the most indicative of adrenal insufficiency in this scenario.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: B
Rationale: The correct answer is B: Chvostek's sign. This is a clinical sign of hypocalcemia, which can occur following a thyroidectomy due to inadvertent damage to the parathyroid glands. The tingling sensation in the extremities and around the lips reported by the client is indicative of hypocalcemia. Babinski's sign (
A) is used to assess upper motor neuron dysfunction, not related to this scenario. Brudzinski's sign (
C) and Kernig's sign (
D) are both signs of meningeal irritation, not relevant in this case of hypocalcemia.
Question 5 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is essential in preventing postoperative complications such as deep vein thrombosis. Sequential compression devices promote circulation and reduce the risk of blood clots. Discussing visitation policy (
A) is important for emotional support but not directly related to preventing complications. Teaching how to use the PCA pump (
C) and reviewing the pain scale (
D) are important for pain management but not specific to preventing postoperative complications.