ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to perform a bladder scan (
Choice
C). This is the most appropriate initial step to assess the client's bladder volume without being invasive. It allows the nurse to determine if the client is retaining urine, which could be causing the inability to void. If the bladder scan shows a large volume of urine, then the nurse can proceed with appropriate interventions such as catheterization. Providing assistance to the bathroom (
Choice
A) may not be effective if there is significant urinary retention. Increasing fluids (
Choice
B) may worsen the situation by further distending the bladder. Inserting a straight catheter (
Choice
D) without assessing the bladder volume can be harmful and should only be done after determining the need through a bladder scan.
Question 2 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Continue to monitor the client's respiratory status. Slow, steady bubbling in the suction control chamber indicates that the system is functioning properly. This bubbling is expected as it shows that the system is maintaining the desired negative pressure. Monitoring the client's respiratory status is essential to ensure that there are no underlying respiratory complications post-thoracotomy.
Option B is incorrect because clamping the chest tube can lead to a tension pneumothorax. Option C is incorrect as checking the suction control outlet on the wall is not necessary in this situation. Option D is incorrect as checking tubing connections for leaks is not indicated when there is slow, steady bubbling. It's crucial to understand the rationale behind each option to make the best clinical decision.
Question 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: D
Rationale: The correct answer is D: Levothyroxine. The rationale is that levothyroxine is a medication commonly used to treat hypothyroidism by replacing the deficient thyroid hormone. It helps regulate the body's metabolism and energy levels. Levofloxacin (
A) is an antibiotic used to treat bacterial infections, not related to hypothyroidism. Radioactive iodine (
B) is used to treat hyperthyroidism by destroying thyroid tissue, not applicable for hypothyroidism. Sumatriptan (
C) is used to treat migraines, not related to hypothyroidism.
Therefore, the nurse should prepare to instruct the client on levothyroxine for managing hypothyroidism effectively.
Question 4 of 5
The nurse is conducting a health history on a client diagnosed with hyperparathyroidism. Which question asked of the client would elicit information about this condition?
Correct Answer: A
Rationale: The correct answer is A: Are you experiencing pain in your joints? In hyperparathyroidism, increased parathyroid hormone levels can lead to bone resorption, causing bone pain and joint discomfort. This question would help assess for musculoskeletal manifestations of the condition.
B: Tremors in hands are not typically associated with hyperparathyroidism.
C: Swelling in legs at night is more suggestive of heart failure or venous insufficiency, not hyperparathyroidism.
D: Diarrhea is not a common symptom of hyperparathyroidism.
Question 5 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Correct Answer: A
Rationale:
Rationale: The correct answer is A: The hematocrit (Hct). Epoetin alfa is a medication used to stimulate red blood cell production in patients with renal disease. Monitoring the hematocrit levels helps assess the medication's effectiveness in increasing red blood cell count. Hematocrit measures the percentage of blood volume occupied by red blood cells. An increase in hematocrit indicates improved red blood cell production, indicating a therapeutic effect.
Incorrect
Choices:
B: The erythrocyte sedimentation rate (ESR) is a marker of inflammation, not related to the therapeutic effect of epoetin alfa.
C: The leukocyte count measures white blood cells, not relevant for monitoring the effects of epoetin alfa.
D: The platelet count assesses clotting ability, not indicative of the therapeutic effect of epoetin alfa.