ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?
Correct Answer: B
Rationale: Chewing sugarless gum or sucking candies stimulates saliva to relieve dry mouth, a common diphenhydramine side effect. Food, humidifiers, or discontinuation are less effective.
Question 2 of 5
A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site?
Correct Answer: A
Rationale: Warmth at the IV site is a classic sign of phlebitis. Stopped infusion, leaking fluid, or no blood return indicate other issues, not phlebitis.
Question 3 of 5
A nurse is caring for a client who is cognitively impaired and repeatedly pulls on his NG tube. Which of the following actions should the nurse take before requesting a prescription for restraints? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Diversionary activities, frequent toileting, family involvement, and bed alarms can reduce NG tube pulling without restraints. Threatening restraint is inappropriate.
Question 4 of 5
A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?
Correct Answer: C
Rationale: Spider angiomas are common in cirrhosis due to increased estrogen from liver dysfunction. Moist skin, blood in urine, and tarry stools are not primary findings.
Question 5 of 5
A client seeks medical attention for intermittent signs and symptoms that suggest a diagnosis of Raynaud’s disease. The nurse should assess the trigger of these signs/symptoms by asking which?
Correct Answer: A
Rationale: Caffeine and chocolate can trigger Raynaud’s symptoms via vasoconstriction. Heat, sleep, or injuries are not typical triggers.