ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Providing written information about the medication is crucial for the caregiver to have a reference. Explaining the reason for taking the medication ensures understanding and compliance. Describing the adverse effects helps the caregiver monitor for potential complications.
Choice A is incorrect because kitchen spoons are not accurate for measuring medication.
Choice E is incorrect because completing the full course is essential for treatment success.
Question 2 of 5
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg. This finding should be reported to the provider because it indicates a significant decrease in blood pressure, which could be a sign of hypotension or other cardiovascular complications post-surgery. Hypotension can lead to decreased perfusion to vital organs and tissues, potentially causing serious complications. The other choices (A, B, and
C) involve changes that are within a normal range for a postoperative patient and do not pose immediate risks to the client's well-being. Reporting the correct finding promptly allows for timely intervention and prevents further complications.
Question 3 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: D
Rationale: The correct answer is D: Pale pink. After a transurethral prostatectomy, it is common for clients to have pale pink urine due to the presence of blood in the urine post-catheter removal. The pink color is a result of minor bleeding from the surgical site and is expected within the initial days following the procedure. Bright yellow (choice
A), bright red (choice
B), and dark amber (choice
C) are not typically associated with post-prostatectomy urine color changes. Bright red urine could indicate significant bleeding and should be reported.
Question 4 of 5
A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate 46/min. Atenolol is a beta-blocker that slows down heart rate. A heart rate of 46/min indicates bradycardia, which is a contraindication for administering atenolol. Oxygen saturation of 95% (
A) is within normal range, respiratory rate of 18/min (
B) is also normal, and blood pressure of 160/94 mm Hg (
C) may be high but not a reason to withhold atenolol. In summary, bradycardia is the key factor in withholding atenolol, as it can further decrease heart rate and lead to adverse effects.
Question 5 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: A
Rationale: The correct answer is A: Adopt a neutral attitude when providing care. This approach is appropriate because it allows the nurse to establish trust and build rapport with the suspicious client without overwhelming them. Being neutral helps to convey non-judgmental and non-threatening behavior, which is essential in gaining the client's trust. Waiting for the client to initiate interaction (
B) may lead to prolonged periods of mistrust. Disclosing personal information (
C) can blur professional boundaries and may further increase the client's suspicion. Approaching the client frequently (
D) may be perceived as invasive and could escalate the client's distrust.
Therefore, adopting a neutral attitude is the most suitable approach in this situation.