ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse’s priority?
Correct Answer: D
Rationale: The correct answer is D: Blood pressure 80/56 mm Hg. This finding is the priority because it indicates hypotension, a common side effect of opioid epidural analgesia. Hypotension can lead to decreased placental perfusion and compromise fetal well-being. The other options are less urgent: A slight fever (
A) is common with epidural analgesia, weakness of lower extremities (
B) is an expected side effect, and itching (
C) is a common minor side effect.
Therefore, monitoring and addressing the client's low blood pressure is the priority to prevent potential harm to both the mother and the baby.
Question 2 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (G85). Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale: The nurse should ask about recent influenza infection (
Choice
A) because Guillain-Barré syndrome is often preceded by a viral illness, such as influenza. This information is crucial for diagnosis and treatment. Travel history (
Choice
B) is less relevant as the cause is more likely viral. Chronic alcohol abuse (
Choice
C) and multivitamin use (
Choice
D) are not directly related to Guillain-Barré syndrome.
Question 3 of 5
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
Correct Answer: D
Rationale: The correct answer is D: Identify the problem. The first step in resolving any conflict is to understand the root cause. By identifying the problem, the nurse manager can gather relevant information, clarify misunderstandings, and determine the underlying issues causing the conflict between the pharmacy and staff nurses. This step is crucial in developing an effective resolution strategy.
A: Implement a resolution - Without identifying the problem first, implementing a resolution may not address the true issue, leading to a temporary fix or exacerbating the conflict.
B: Evaluate the results - This step comes after implementing a resolution, not before identifying the problem.
C: Brainstorm solutions - Brainstorming solutions is important, but it should come after identifying the problem to ensure that the solutions address the root cause of the conflict.
Question 4 of 5
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction. It presents as raised, itchy welts on the skin. This is a classic symptom of an allergic response to medication like oxacillin. Dark urine (
A) is more indicative of liver issues, diarrhea (
B) can be a side effect of many medications, and fever (
D) can be a sign of infection rather than an allergic reaction.
Question 5 of 5
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
Correct Answer: A
Rationale: The correct answer is A: Transporting a school-age client in traction. This assignment is unsafe because moving a client in traction requires specialized training and skill to prevent injury.
Choices B, C, and D involve activities that do not pose a risk to the volunteer or the client. Reading to a preschool client, playing a computer game, and rocking an infant are appropriate and safe interactions for a volunteer in a pediatric unit.