ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply.)
Correct Answer: C,D
Rationale: Botulism causes paralysis within 12 to 72 hours due to the botulinum toxin's effect on the nervous system, and vomiting and diarrhea are early symptoms in foodborne or inhalational exposure. It is not spread by direct contact, the CDC should be notified for any suspected case, and the toxin is produced by Clostridium botulinum, not castor beans (which contain ricin).
Question 2 of 5
A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
Correct Answer: C
Rationale: Eggs are high-protein, easy to digest, and do not cause gas, making them ideal for colostomy clients. Dried fruits and peas are high-fiber and gas-producing, while pasta is acceptable but less emphasized.
Question 3 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 4 of 5
A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Administering the abdominal thrust maneuver (Heimlich maneuver) is the first action for a conscious client with a foreign body airway obstruction. This technique uses quick, upward thrusts to expel the object, addressing the immediate threat to the airway. Blind finger sweeps risk worsening the obstruction, turning the client to the side is ineffective, and oral airways are for unconscious patients.
Question 5 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.