ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is observing a client’s nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?
Correct Answer: C
Rationale: Sociocultural background shapes nonverbal cues (e.g., eye contact, gestures). Nonverbal communication often conveys more truth, is largely subconscious, and reflects feelings accurately.
Question 2 of 5
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child’s cooperation?
Correct Answer: A
Rationale: The correct answer is A. Offering the child a choice of taking the medication with juice or water empowers the child and gives them a sense of control over the situation, increasing the likelihood of cooperation. This strategy respects the child's autonomy and preferences, fostering a positive relationship between the child and the nurse. It also promotes trust and reduces anxiety associated with taking medication.
Other choices are incorrect because:
B: Lying to the child by telling them the medication is candy is unethical and can lead to trust issues.
C: Threatening the child with a shot instills fear and is coercive, which can lead to negative associations with taking medication.
D: Hiding the medication in ice cream may lead to the child developing mistrust towards food and medication, and it does not address the underlying issue of the child's resistance.
Question 3 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: B
Rationale: The correct answer is B: Chvostek's sign. This is a clinical sign of hypocalcemia, which can occur following a thyroidectomy due to inadvertent damage to the parathyroid glands. The tingling sensation in the extremities and around the lips reported by the client is indicative of hypocalcemia. Babinski's sign (
A) is used to assess upper motor neuron dysfunction, not related to this scenario. Brudzinski's sign (
C) and Kernig's sign (
D) are both signs of meningeal irritation, not relevant in this case of hypocalcemia.
Question 4 of 5
A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: The correct answer is B: Fresh apples. Apples are high in fiber and can aggravate dumping syndrome symptoms like bloating and diarrhea. White bread (
A) is low in fiber and easier to digest. Poached eggs (
C) are a good protein source and are gentle on the stomach. Other choices are not relevant for dumping syndrome. In summary, fresh apples should be avoided due to their high fiber content, while white bread and poached eggs are suitable options.
Question 5 of 5
A nurse educator is teaching a class about medication reconciliation. Which of the following information should the nurse educator include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Provide a list of the client’s current medications during admission to a health care facility. This is essential for ensuring continuity of care and patient safety. During admission, healthcare providers need to know the client's current medications to avoid drug interactions, duplications, or omissions. This information helps in creating an accurate medication list to guide treatment decisions.
A: Providing a list of current medications during shift change is important but not directly related to medication reconciliation during admission.
B: Not performing reconciliation at discharge is incorrect as it is a crucial step in ensuring a smooth transition of care.
D: Including only prescription medications is incorrect as over-the-counter medications, supplements, and herbal remedies should also be included for comprehensive reconciliation.