ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Increasing dietary fiber helps mitigate constipation, a common side effect of verapamil. Swelling of ankles is a side effect to report, not expect; verapamil can be taken with or without food; and fluid restriction is unnecessary, making these incorrect instructions.
Question 2 of 5
A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: Semi-Fowler’s position (30-45° head elevation) facilitates breathing, reduces aspiration risk, and minimizes abdominal tension post-cholecystectomy. Sims is unsuitable for comfort, dorsal recumbent increases abdominal pressure, and prone is impractical and uncomfortable.
Question 3 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is expected in prerenal AKI because impaired kidney function reduces potassium excretion, leading to elevated blood levels. This can cause dangerous cardiac arrhythmias, requiring prompt management. Hypophosphatemia, hypercalcemia, and hypernatremia are not typical, as AKI primarily affects potassium and may lead to hyponatremia or hypocalcemia.
Question 4 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperpigmentation is a hallmark of Addison’s disease, caused by increased ACTH and melanocyte-stimulating hormone due to adrenal insufficiency. Purple striations and hirsutism relate to Cushing’s syndrome or androgen excess, and intention tremors are neurological, not typical of Addison’s.
Question 5 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.