ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to turn a client who is obese following a spinal fusion. The nurse should plan to use which of the following techniques to turn this client?
Correct Answer: B
Rationale: The correct answer is B: Log roll. When turning an obese client following spinal fusion, using a log roll technique is most appropriate. This technique involves turning the client as a single unit to prevent twisting or bending of the spine, reducing the risk of injury. The nurse should assist the client by coordinating the movement with other staff members to ensure a smooth and safe transition. The other choices are not suitable for this scenario:
A) Draw sheet is typically used for moving a client up in bed, not for turning an obese client after spinal fusion.
C) Sliding board is used for transferring clients from one surface to another, not for turning in bed.
D) Hoyer lift is used for lifting and transferring clients who are unable to bear weight, not for turning a client in bed.
Question 2 of 5
A nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?
Correct Answer: D
Rationale: The correct answer is D: Skim milk. Skim milk is allowed on a full liquid diet as it is easily digested and provides essential nutrients. It is also a good source of protein and calcium, important for healing post-surgery. Chicken broth (
A) and flavored gelatin (
B) are typically allowed on a clear liquid diet but may not be suitable for a full liquid diet. Cranberry juice (
C) is acidic and may be too harsh on the stomach post-surgery.
Therefore, the nurse should advise the client to choose skim milk for his meal tray to support healing and recovery.
Question 3 of 5
A nurse is providing discharge instructions to a client who has rheumatoid arthritis and a prescription for oral betamethasone. Which of the following statements should the nurse make about how to take this medication?
Correct Answer: D
Rationale: The correct answer is D: Take the medication with milk. Betamethasone can cause stomach irritation, so taking it with milk can help reduce this side effect. Milk coats the stomach lining, providing a protective barrier. This helps to minimize the risk of gastrointestinal upset.
A: Taking the medication with orange juice is not recommended as it can increase stomach irritation due to its acidity.
B: Taking the medication between meals may not provide the same protective effect on the stomach lining as taking it with milk.
C: Taking the medication on an empty stomach can increase the risk of gastrointestinal irritation and should be avoided.
E, F, G: These options are not relevant to the administration of betamethasone.
Question 4 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: A
Rationale: The correct answer is A: Generalized urticaria. This finding indicates an allergic transfusion reaction because urticaria, or hives, is a common symptom of an allergic response. The release of histamine during the reaction causes itching and skin rash. Distended jugular veins (
B) are more indicative of fluid overload or heart failure. Blood pressure of 184/92 mm Hg (
C) is elevated but not specific to an allergic reaction. Bilateral flank pain (
D) may suggest kidney issues or musculoskeletal problems, not necessarily related to an allergic reaction.
Question 5 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place a black tag on the client’s upper body and attempt to help the next client in need. In this scenario, the client is apneic despite repositioning the airway and has a weak pulse. The client's condition falls under "expectant" during triage, indicated by a black tag. The nurse should prioritize helping those who have a higher chance of survival first. Placing a black tag and moving on to assist others is essential to maximize the number of lives saved in a mass casualty event. Starting CPR (choice
C) may be futile if the client is trapped under a car with severe injuries.
Choice B, repositioning the airway again, is unlikely to change the client's apneic status.
Choice D, placing a red tag, is incorrect as this tag is typically used for immediate care cases.