ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client’s history?
Correct Answer: B
Rationale: The correct answer is B: Gallstones. Acute pancreatitis is commonly caused by gallstones blocking the pancreatic duct. This leads to inflammation of the pancreas. Hyperlipidemia (
A) is a risk factor for chronic pancreatitis, not acute. COPD (
C) and Diabetes mellitus (
D) are not directly associated with acute pancreatitis. In summary, the nurse should anticipate finding gallstones in the client's history due to its direct link to acute pancreatitis.
Question 2 of 5
A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Call emergency services. This action is crucial because the woman is showing signs of a stroke, which requires immediate medical attention. Calling emergency services will ensure that the woman receives prompt care and assessment by healthcare professionals. Driving the client to the emergency department (
A) could delay treatment and worsen the condition. Finding a location for the client to sit (
C) is not appropriate as the woman needs urgent medical attention. Obtaining the telephone number of the client's provider (
D) is not necessary in this emergency situation.
Question 3 of 5
A nurse is assessing a client who sustained a basal skull fracture and notes a thin stream of clear drainage coming from the client’s right nostril. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Test the drainage for glucose. This is the first action the nurse should take because clear drainage from the nose following a basal skull fracture may indicate a cerebrospinal fluid (CSF) leak. Testing the drainage for glucose can help differentiate between CSF and other types of nasal discharge. If the drainage tests positive for glucose, it confirms the presence of CSF. This finding is crucial for determining the appropriate management and potential complications associated with a CSF leak.
Summary of other choices:
A: Asking the client to blow his nose is not appropriate as it can increase intracranial pressure.
B: Suctioning the nostril can worsen the CSF leak and should be avoided.
C: Notifying the physician is important, but testing the drainage for glucose should be done first.
E, F, G: No additional options provided, but none would be more appropriate than testing the drainage for glucose.
Question 4 of 5
A home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. Shopping and performing personal errands for the client is prohibited in the nurse’s job description. Which of the following is an appropriate nursing response?
Correct Answer: D
Rationale: The correct answer is D: Let’s look at some other resources to solve this problem. This response is appropriate because it acknowledges the client's needs while also maintaining professional boundaries. The nurse is offering to explore alternative solutions, which aligns with the scope of their practice.
Choice A is incorrect because it implies the nurse is willing to perform tasks outside their job description.
Choice B is incorrect as it does not offer a practical solution to the client's needs.
Choice C is inappropriate as it prioritizes the nurse's personal obligations over the client's needs.
In summary, option D is the best response as it demonstrates a client-centered approach and promotes collaboration to find a suitable solution within the boundaries of the nurse's role.
Question 5 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:
Correct Answer: A: "I should eat a snack half an hour before playing soccer."
Rationale:
1. Timing of snack: Eating a snack before physical activity helps prevent hypoglycemia during exercise.
2. Specific activity mentioned: Playing soccer can lead to rapid glucose consumption, making a pre-activity snack crucial.
3. Shows understanding: Recognizing the need for a pre-exercise snack indicates awareness of managing blood sugar levels during physical activity.
Incorrect
Choices:
B: Morning glucose range is correct, but it doesn't demonstrate understanding of immediate actions.
C: Skipped insulin during sickness can lead to DKA, not recommended.
D: Insulin should be stored in the fridge, not freezer, to maintain stability.
E, F, G: No information provided.
In summary, choice A is correct as it addresses a specific scenario and demonstrates understanding of managing blood sugar levels during physical activity. Other choices lack specificity or may lead to incorrect actions.