ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: D
Rationale: The correct answer is D because the situation involves a potential harm to a client, which is a critical incident requiring documentation. The missing dentures can impact the client's ability to eat or speak, posing a risk to their well-being. Completing an incident report ensures the issue is addressed, investigated, and preventive measures are implemented to avoid future occurrences.
Choices A, B, and C do not directly involve harm to a client and can be addressed through other means without the need for an incident report.
Question 2 of 5
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?
Correct Answer: B
Rationale: Tertiary prevention focuses on managing and treating existing conditions to prevent complications and further deterioration. Providing treatment for clients with chronic obstructive pulmonary disease aligns with this level by aiming to minimize the impact of the disease and prevent exacerbations. Testing new nurses for exposure to tuberculosis (
A) is an example of primary prevention as it aims to prevent the initial occurrence of the disease. Performing screening for sexually transmitted infections (
C) falls under secondary prevention, which aims to detect and treat diseases in early stages. Administering influenza immunizations (
D) is considered primary prevention as it aims to prevent the occurrence of influenza.
Question 3 of 5
A nurse is planning on teaching a client who is scheduled for an IVP. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: After the procedure, you will be encouraged to drink plenty of fluids. This is important because after an Intravenous Pyelogram (IVP), the contrast dye used can be nephrotoxic, and increasing fluid intake helps to flush out the dye and prevent kidney damage. Encouraging the client to drink plenty of fluids will help protect their kidneys.
Choice A is incorrect because the presence of red blood cells in the urinalysis is not a contraindication for an IVP.
Choice B is incorrect because the client may need to follow specific dietary restrictions before and after the test.
Choice C is incorrect because high-frequency sound waves are used in ultrasound, not in an IVP.
Question 4 of 5
A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Withhold oral fluids and food. In acute pancreatitis, the priority intervention is to rest the pancreas by withholding oral intake to reduce pancreatic stimulation and prevent further inflammation and digestive enzyme release. This is crucial in managing the condition and preventing complications. Auscultating the lungs (
B) is important but not the priority in this case. Providing oral hygiene (
C) and assisting the client to a side-lying position (
D) are not directly related to managing acute pancreatitis.
Question 5 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
Correct Answer: D
Rationale: The correct answer is D: Nausea and vomiting. Peritonitis is inflammation of the peritoneum, which can occur in peritoneal dialysis. Nausea and vomiting are common symptoms due to irritation of the peritoneum. Increased urinary output (
A) is not a typical manifestation of peritonitis. Hyperactive bowel sounds (
B) are more indicative of gastrointestinal issues, not peritonitis. Bradycardia (
C) is not a common symptom of peritonitis. In summary, nausea and vomiting are key signs of peritonitis, while the other options are not typically associated with this condition.