ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: D
Rationale: The correct answer is D: Pale pink. After a transurethral prostatectomy, it is common for clients to have pale pink urine due to the presence of blood in the urine post-catheter removal. The pink color is a result of minor bleeding from the surgical site and is expected within the initial days following the procedure. Bright yellow (choice
A), bright red (choice
B), and dark amber (choice
C) are not typically associated with post-prostatectomy urine color changes. Bright red urine could indicate significant bleeding and should be reported.
Question 2 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: A
Rationale: The correct answer is A: Fetal position is persistent occiput posterior. This position is associated with prolonged labor and severe backache due to the baby's head pressing against the mother's sacrum. A gynecoid pelvis (
B) is actually favorable for labor, not a contributing cause. Fetal attitude in general flexion (
C) is also favorable for labor. Fetal lie being longitudinal (
D) is normal.
Question 3 of 5
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because vaccination against smallpox provides lifelong immunity. This is true as the smallpox vaccine has been proven to provide long-lasting protection against the disease. Other choices are incorrect because: A is incorrect as smallpox has been eradicated globally since 1980, so there are no rare occurrences. B is incorrect as smallpox lesions progress through distinct stages, not various stages of healing. C is incorrect as smallpox lesions are more abundant on the body, not just the face.
Question 4 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 5 of 5
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I may have a dry mouth while taking this medication." This is correct because chlorpromazine is an antipsychotic medication known to cause dry mouth as a common side effect due to its anticholinergic properties. Dry mouth is a potential adverse effect that the client should be aware of.
Choice B is incorrect because chlorpromazine does not typically cause increased urination.
Choice C is incorrect because chlorpromazine is not indicated for smoking cessation.
Choice D is incorrect because flu-like symptoms are not a common side effect of chlorpromazine.