ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is planning on teaching a client who is scheduled for an IVP. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: After the procedure, you will be encouraged to drink plenty of fluids. This is important because after an Intravenous Pyelogram (IVP), the contrast dye used can be nephrotoxic, and increasing fluid intake helps to flush out the dye and prevent kidney damage. Encouraging the client to drink plenty of fluids will help protect their kidneys.
Choice A is incorrect because the presence of red blood cells in the urinalysis is not a contraindication for an IVP.
Choice B is incorrect because the client may need to follow specific dietary restrictions before and after the test.
Choice C is incorrect because high-frequency sound waves are used in ultrasound, not in an IVP.
Question 2 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale:
Correct Answer: D - Hyperpigmentation
Rationale: Addison's disease is characterized by adrenal insufficiency, leading to decreased cortisol production. Hyperpigmentation is a classic sign due to elevated ACTH levels stimulating melanocytes. Intention tremors (
A), purple striations (
B), and hirsutism (
C) are not typical findings in Addison's disease. Hyperpigmentation is the most indicative of adrenal insufficiency in this scenario.
Question 3 of 5
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?
Correct Answer: A
Rationale: The correct answer is A: Muffled heart sounds. In cardiac tamponade, fluid accumulates in the pericardial sac, compressing the heart. This results in muffled heart sounds due to decreased sound transmission through the fluid. Sudden lethargy (
B) may indicate worsening condition but is not specific to cardiac tamponade. Flattened neck veins (
C) are typically seen in hypovolemic shock, not cardiac tamponade. Bradycardia (
D) is not a common finding in cardiac tamponade, as it usually presents with tachycardia due to the heart's compensatory mechanisms.
Question 4 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.
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.