ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 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 2 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 log roll technique maintains spinal alignment during turning, critical post-spinal fusion, especially for obese clients to prevent site disruption. Draw sheets assist repositioning, sliding boards aid transfers, and Hoyer lifts are for lifting, not suitable for in-bed turning.
Question 3 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have a natural childbirth. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This empathetic response validates the client’s feelings, fostering emotional support. Other responses may dismiss or minimize her emotions, which is less therapeutic.
Question 4 of 5
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Hyperkalemia risks cardiac dysrhythmias; an ECG detects abnormalities for timely intervention. Salt substitutes and high-potassium foods worsen the condition, and sodium levels are secondary.
Question 5 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: Generalized urticaria (hives) indicates an allergic transfusion reaction, caused by the immune system reacting to donor blood proteins. Symptoms range from mild itching to severe anaphylaxis, requiring stopping the transfusion and administering antihistamines. Jugular vein distension, high blood pressure, and flank pain suggest other complications like fluid overload or hemolysis.