ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The catheter and irrigation can cause a persistent urge to urinate, and reassurance helps manage expectations. Fluid restriction is inappropriate, and output should be monitored more frequently.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Clients should not adjust the oxygen flow rate without medical guidance, as it is set to meet specific needs, preventing under- or over-oxygenation. Wool blankets pose a fire risk, tanks should be stored upright, and equipment checks should be daily, not weekly, making these incorrect.
Question 5 of 5
A nurse is assessing a client who is receiving vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Decreasing the IV infusion rate is the appropriate action for flushing and tachycardia during vancomycin administration, indicative of vancomycin flushing syndrome (red man syndrome). Slowing the infusion reduces histamine release, alleviating symptoms. This is not anaphylaxis, changing the IV site is irrelevant, and cold compresses do not address the cause.