ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?
Correct Answer: A
Rationale: The correct answer is A: "Please do not raise your voice at the children. I am the one who left the dishes in the sink." This statement shows effective communication by addressing a specific behavior (raising voice) and taking responsibility for one's actions (leaving dishes). It promotes understanding and problem-solving.
Choice B threatens and escalates conflict, not conducive to effective communication.
Choice C encourages open dialogue but lacks immediate conflict resolution.
Choice D involves blaming and does not address the issue constructively.
Question 2 of 5
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Providing written information about the medication is crucial for the caregiver to have a reference. Explaining the reason for taking the medication ensures understanding and compliance. Describing the adverse effects helps the caregiver monitor for potential complications.
Choice A is incorrect because kitchen spoons are not accurate for measuring medication.
Choice E is incorrect because completing the full course is essential for treatment success.
Question 3 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.
Question 4 of 5
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. Enoxaparin is an anticoagulant administered subcutaneously.
2. The air bubble in the prefilled syringe acts as a safety feature to prevent leakage of the medication.
3. Expelling the air bubble can lead to loss of medication, affecting dosage accuracy.
4.
Therefore, the nurse should not expel the air bubble to ensure the client receives the correct dose.
Summary:
A: Aspirating for a blood return is not necessary for subcutaneous injections.
B: Inserting the needle at a 45-degree angle is not specific to enoxaparin administration.
D: Administering 2.54 cm from the umbilicus is not a standard guideline for enoxaparin injections.
Question 5 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.