ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client’s neurovascular status?
Correct Answer: B
Rationale: The correct answer is B: Palpate the femoral pulse. When assessing neurovascular status in a client with an unrepaired femur fracture, palpating the femoral pulse is crucial to determine adequate circulation to the lower limb. Absence of the femoral pulse may indicate compromised blood flow, which is a medical emergency requiring immediate intervention. Monitoring calf for edema (
A) is more related to venous status rather than neurovascular assessment. Measuring thigh circumference (
C) does not directly assess neurovascular status. Instructing the client to wiggle his toes (
D) assesses motor function, not neurovascular status.
Question 2 of 5
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?
Correct Answer: C
Rationale: Tertiary prevention aims to reduce the impact of established disease through treatment and rehabilitation. Performing screening for sexually transmitted infections falls under tertiary prevention as it helps identify and manage existing infections, preventing complications and further transmission.
Incorrect choices:
A: Testing new nurses for exposure to tuberculosis is an example of secondary prevention, aimed at early detection and treatment to prevent the progression of disease.
B: Providing treatment for clients with chronic obstructive pulmonary disease is an example of secondary prevention, focusing on managing existing conditions to prevent complications.
D: Administering influenza immunizations at a local health fair is an example of primary prevention, aiming to prevent the initial occurrence of illness through vaccination.
Question 3 of 5
A nurse is preparing to administer vancomycin 50 mg PO daily divided into four equal doses. The amount available is vancomycin 125 mg capsules. How many capsules should the nurse administer with each dose?
Correct Answer: 1
Rationale:
Correct Answer: A. 1 capsule
Rationale: The nurse needs to administer 50 mg daily divided into 4 equal doses. So, each dose should contain 50 mg / 4 doses = 12.5 mg. The available capsule strength is 125 mg.
Therefore, the nurse should administer 1 capsule for each dose to achieve the required dose of 12.5 mg.
Summary of Incorrect
Choices:
B. 2 capsules: This would result in a total of 250 mg per dose, exceeding the required dose of 12.5 mg.
C. 3 capsules: This would result in a total of 375 mg per dose, significantly exceeding the required dose of 12.5 mg.
D. 4 capsules: This would result in a total of 500 mg per dose, greatly exceeding the required dose of 12.5 mg.
E. 5 capsules: This would result in a total of 625 mg per dose, far exceeding the
Question 4 of 5
A nurse is caring for a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements can be expected?
Correct Answer: A
Rationale: The correct answer is A: "I can expect to have swelling in my face." In nephrotic syndrome, there is excessive protein loss in the urine, leading to low protein levels in the blood. This results in decreased colloidal osmotic pressure, leading to fluid shifting into tissues, causing edema, commonly in the face (periorbital edema). This statement aligns with the pathophysiology of nephrotic syndrome.
Choices B, C, and D are incorrect. B is incorrect as protein loss occurs in the urine, not sodium. C is incorrect as clients with nephrotic syndrome often require sodium restriction. D is incorrect as kidney biopsy is not typically indicated for nephrotic syndrome diagnosis.
Question 5 of 5
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy?
Correct Answer: A,B,C,E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Mispronouncing words may indicate speech difficulties.
B: Speaking in short sentences could suggest language development delay.
C: Stuttering may require intervention from a speech therapist.
E: Speaking in a nasally tone may indicate a speech disorder.
Incorrect
Choices:
D: Talking to oneself while reading is a common behavior and not necessarily indicative of needing speech therapy.