ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: D
Rationale: Low-sodium, fluid-restricted diet reduces edema and blood pressure in glomerulonephritis. Protein moderation may help, but sodium and fluid control are primary; carbohydrates are irrelevant.
Question 2 of 5
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Using contraception is critical due to sumatriptan’s unknown safety in pregnancy. The patch activates immediately, is used for acute migraines (not daily), and is water-resistant, but contraception is the priority instruction.
Question 3 of 5
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?
Correct Answer: A
Rationale: Muffled heart sounds, part of Beck’s triad, indicate cardiac tamponade due to pericardial fluid. Lethargy is non-specific, neck veins are distended, and tachycardia, not bradycardia, is typical.
Question 4 of 5
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Correct Answer: A
Rationale: Eating a snack half an hour before soccer helps prevent hypoglycemia during physical activity, showing understanding of glucose management. While 90-130 mg/dL is a correct glucose range, it’s less comprehensive. Insulin must be continued during illness, and insulin should be refrigerated, not frozen, as freezing damages it.
Question 5 of 5
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Reducing vitamin K-rich foods is harmful, as vitamin K supports bone health. Reducing sodium, caffeine, and soft drinks (phosphoric acid) helps prevent calcium loss and supports bone strength.