ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 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: Taking betamethasone with milk buffers the stomach lining, reducing gastrointestinal irritation, a common corticosteroid side effect. Orange juice has no specific benefit, and taking it between meals or on an empty stomach increases irritation risk, making these incorrect.
Question 2 of 5
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Examining breasts in the shower with soapy hands facilitates detecting lumps, as soap allows smoother gliding. Using the palm is incorrect (finger pads are used), dimpling/discharge requires medical evaluation, and BSE should be done post-menstruation when breasts are less tender.
Question 3 of 5
A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select all that apply)
Correct Answer: C,D,E
Rationale: These tasks are within the LPN’s scope, involving routine procedures and data collection without complex planning. Care planning and discharge instructions require RN expertise.
Question 4 of 5
A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?
Correct Answer: B
Rationale: Irregular borders are a key sign of potential malignancy in nevi, as melanomas often have uneven, notched edges due to uncontrolled melanocyte growth. Pruritus is less specific, uniform pigmentation suggests benignity, and purulent drainage indicates infection, not cancer.
Question 5 of 5
A nurse is assessing a client who is receiving vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Decreasing the IV infusion rate is the appropriate action for flushing and tachycardia during vancomycin administration, indicative of vancomycin flushing syndrome (red man syndrome). Slowing the infusion reduces histamine release, alleviating symptoms. This is not anaphylaxis, changing the IV site is irrelevant, and cold compresses do not address the cause.