ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client’s level of strength?
Correct Answer: D
Rationale: The correct answer is D. Asking the client to push her feet against the nurse's palms is a direct assessment of the client's strength. This action engages major muscle groups and provides a clear indication of the client's strength level. Palpating pedal pulses (
A) assesses circulation, not strength. Asking how strong the client feels (
B) is subjective and does not provide an objective measure of strength. Asking the client to touch her finger to her nose (
C) assesses coordination, not strength.
Question 2 of 5
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A. Vitamin K is essential for bone health as it helps in calcium absorption and bone mineralization.
Therefore, reducing intake of vitamin K-rich foods can be detrimental in preventing osteoporosis.
Choices B, C, and D are all correct as they are beneficial in preventing osteoporosis by reducing sodium, caffeine, and soft drink intake, respectively. These choices help in maintaining bone density and overall bone health.
Question 3 of 5
A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as at risk?
Correct Answer: B
Rationale: The correct answer is B: Assembly line worker. Assembly line workers are at risk for repetitive motion injuries due to the continuous and repetitive nature of their tasks, such as repetitive lifting and reaching. This constant movement can lead to musculoskeletal strain and injuries over time. Nursing assistants (choice
A) are also at risk due to tasks involving lifting and transferring patients. Truck drivers (choice
C) may experience musculoskeletal issues but are not primarily at risk for repetitive motion injuries. Elementary school teachers (choice
D) may experience repetitive tasks but are not as consistently exposed to the same level of repetitive motions as assembly line workers.
Question 4 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Perform a neurovascular assessment. This is the priority action because it ensures circulation and nerve function are intact, preventing complications like compartment syndrome. Explanation of discharge instructions (
A) is important but not the priority. Providing reassurance (
C) is supportive but not urgent. Applying an ice pack (
D) can cause skin damage due to decreased sensation.
Question 5 of 5
A nurse is caring for a 10-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "Tell me more about how you are feeling about your son’s activities." This response demonstrates active listening and empathy, allowing the mother to express her concerns and fears regarding her son's activities. By encouraging open communication, the nurse can address the mother's specific worries and provide appropriate education and support.
Choice A does not address the mother's concerns directly, choice B is dismissive of the mother's feelings, and choice D suggests an extreme solution without exploring the mother's perspective. Overall, choice C is the most therapeutic as it focuses on understanding the mother's emotions and can help build trust and collaboration between the nurse and the mother in managing the child's diabetes.