ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?
Correct Answer: B
Rationale: The correct answer is B: Fresh apples. Apples are high in fiber and can aggravate dumping syndrome symptoms like bloating and diarrhea. White bread (
A) is low in fiber and easier to digest. Poached eggs (
C) are a good protein source and are gentle on the stomach. Other choices are not relevant for dumping syndrome. In summary, fresh apples should be avoided due to their high fiber content, while white bread and poached eggs are suitable options.
Question 2 of 5
A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
Correct Answer: D
Rationale: The correct answer is D because the situation involves a potential harm to a client, which is a critical incident requiring documentation. The missing dentures can impact the client's ability to eat or speak, posing a risk to their well-being. Completing an incident report ensures the issue is addressed, investigated, and preventive measures are implemented to avoid future occurrences.
Choices A, B, and C do not directly involve harm to a client and can be addressed through other means without the need for an incident report.
Question 3 of 5
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?
Correct Answer: B
Rationale: The correct answer is B: Thyroid-stimulating hormone (TSH). In primary hypothyroidism, there is decreased production of thyroid hormones (T3 and T4), leading to a negative feedback loop that causes an increase in TSH secretion from the pituitary gland to stimulate the thyroid gland.
Therefore, elevated TSH levels are expected in primary hypothyroidism. Free T4 (choice
A) and Serum T4 (choice
D) are not elevated in primary hypothyroidism; instead, they are typically low. Serum T3 (choice
C) may be normal or decreased in primary hypothyroidism.
Question 4 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: A
Rationale: The correct answer is A: A private room in a quiet location on the unit. This is the best choice as it provides a calm and controlled environment which is essential for managing manic symptoms. Manic clients often have heightened energy levels, decreased need for sleep, and can be easily distracted. Placing them in a private room away from potential triggers like noise and distractions can help reduce stimulation and promote rest.
Choice B: A private room across from the exercise room may lead to increased activity and agitation, worsening manic symptoms.
Choice C: A semi-private room across from the day room may expose the client to high levels of activity and social interactions, which can exacerbate manic behaviors.
Choice D: A semi-private room across from the snack area may lead to increased impulsivity and unhealthy eating habits, which are common in manic episodes.
In summary, choice A is the best option as it provides a quiet and controlled environment to help manage manic symptoms effectively.
Question 5 of 5
A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Acetaminophen. Acetaminophen is classified as pregnancy risk category B, indicating that it is generally considered safe to use during pregnancy. This is because acetaminophen has been widely studied and has not shown any harmful effects on the developing fetus.
Rationale:
1. Naproxen (
A), Aspirin (
B), and Ibuprofen (
C) are all classified as pregnancy risk category C or D, indicating a higher risk of harm to the fetus. These medications are not recommended during pregnancy due to potential adverse effects on the baby.
2. Acetaminophen (
D) is the safest choice among the options provided as it is commonly recommended for pain relief and fever reduction during pregnancy.
3. It is important to choose medications with a lower risk profile during pregnancy to minimize any potential harm to the developing fetus.
In summary, the nurse should include Acetaminophen in the teaching as it is a pregnancy risk