ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Check that the client lifts the walker and then places it down in front of her.
Rationale: This action is correct because it ensures the client is using the walker properly to provide support and stability while walking. Lifting the walker before moving it forward helps prevent tripping over obstacles and ensures proper weight distribution. Placing it down in front of her also helps maintain balance and control during ambulation.
Summary of other choices:
A: Walking in front of the client may cause confusion and hinder the client's ability to maneuver the walker independently.
B: Ensuring the upper bar of the walker is level with the client's waist is important, but it is not the most critical action for the client's safety and proper use of the walker.
C: Having the client move one leg forward with the walker is a common ambulation technique but does not specifically address the proper use of the walker.
Question 2 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 3 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 4 of 5
A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose?
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total dose of 30 mg daily, with each tablet containing 10 mg, the nurse should administer 3 tablets per dose. This calculation ensures the client receives the prescribed dosage. Other choices are incorrect because administering fewer tablets would result in an inadequate dose, while administering more tablets would exceed the prescribed dosage, potentially leading to adverse effects. It is essential to follow precise calculations to ensure safe and effective medication administration.
Question 5 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: The correct answer is D because positioning the infant in a supine position while administering medication can increase the risk of choking or aspiration. The ideal position for administering oral medication to an infant is in an upright or semi-upright position to prevent these risks. Administering medication with an oral syringe (
A), inserting medication in the buccal cavity (
B), and allowing the infant to swallow some medication before administering more (
C) are all appropriate techniques for administering oral medication to infants. By positioning the infant in a supine position, the parent is not following the safe practice for administering oral medication to infants, hence indicating a need for further instruction.