ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 1 day postoperative following spinal fusion. Which of the following actions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Log roll the client every 2 hours. This action is crucial for preventing complications such as pressure ulcers and maintaining spinal alignment post spinal fusion surgery. Log rolling helps to keep the spine in proper alignment and reduces the risk of injury to the surgical site. Assisting the client to sit upright for 4 hours at a time (choice
A) can put excessive pressure on the surgical site and hinder the healing process. Expecting clear drainage on the spinal dressing (choice
B) is not appropriate as drainage may vary and is not necessarily an indicator of infection. Performing neurological checks every 8 hours (choice
D) is important but should be done more frequently in the immediate postoperative period.
Question 2 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Obtain a 12-lead ECG. A potassium level of 6.8 mEq/L indicates hyperkalemia, which can lead to serious cardiac arrhythmias.
Therefore, obtaining an ECG is crucial to assess for any potential cardiac abnormalities.
Choice B is incorrect as salt substitutes often contain potassium, exacerbating the issue.
Choice C is incorrect as citrus juices and bananas are high in potassium, which should be avoided in hyperkalemia.
Choice D is incorrect as it focuses on sodium levels, not addressing the immediate concern of hyperkalemia.
Question 3 of 5
A nurse enters a client’s room and finds him on the floor in the clonic phase of a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to place a pillow under the client's head. This helps to protect the client's head from injury during the seizure. It is important to maintain a patent airway and prevent head injury. Inserting a padded tongue blade (choice
B) could cause injury or obstruct the airway. Applying a face mask for oxygen (choice
C) may not be necessary at this point and can be done after the seizure stops. Gently restraining the client's extremities (choice
D) can cause further injury. It is crucial to prioritize safety and comfort during a seizure.
Question 4 of 5
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Correct Answer: B
Rationale: The correct answer is B: Aspartate aminotransferase (AST). The nurse should prioritize assessing AST because both alcohol consumption and acetaminophen use can lead to liver damage. Elevated AST levels indicate liver injury, making it crucial to monitor for potential hepatotoxicity in this client. Creatinine (choice
A) is typically assessed to evaluate kidney function, not directly related to alcohol or acetaminophen use. Amylase (choice
C) is an enzyme related to pancreas health, not specifically affected by alcohol or acetaminophen. Antidiuretic hormone (ADH - choice
D) is related to fluid balance, not a priority in this scenario. By focusing on AST, the nurse can promptly identify any liver damage and intervene accordingly.
Question 5 of 5
A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents?
Correct Answer: B
Rationale: The correct answer is B: Anthrax. Ciprofloxacin is an antibiotic commonly used to treat anthrax, which is a bacterial infection caused by Bacillus anthracis. The rationale behind this choice is that ciprofloxacin is effective in treating anthrax infections by inhibiting the growth of the bacteria. Smallpox (
A), Ebola virus (
C), and Sarin gas (
D) are not treated with ciprofloxacin as they are caused by a virus, a different virus, and a nerve gas, respectively.