ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: A systolic blood pressure drop to 110 mm Hg suggests hypotension, a serious issue post-anesthesia, requiring immediate intervention. Pain increase, slight pulse oximetry drop, and minor temperature rise are less urgent.
Question 2 of 5
A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?
Correct Answer: D
Rationale: Acetaminophen is pregnancy category B, safe in all trimesters. Naproxen and ibuprofen are category B early but D in the third trimester, and aspirin is generally category D due to fetal risks.
Question 3 of 5
A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Correct Answer: D
Rationale: Positioning the infant supine increases aspiration risk during medication administration. Using an oral syringe, buccal cavity, and allowing swallowing are safe practices. Infants should be upright or semi-upright.
Question 4 of 5
A nurse is caring for a client who is receiving positive pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications?
Correct Answer: B,C,D,E
Rationale: Pantoprazole prevents ulcers, verifying settings ensures correct ventilation, elevating the bed prevents pneumonia, and repositioning the tube avoids sores. Restraints are a last resort.
Question 5 of 5
A nurse is assessing a client 15 minutes after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates severe respiratory depression, a life-threatening adverse effect of morphine. Sleepiness is expected, and persistent pain is not an adverse effect.