ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is essential in preventing postoperative complications such as deep vein thrombosis. Sequential compression devices promote circulation and reduce the risk of blood clots. Discussing visitation policy (
A) is important for emotional support but not directly related to preventing complications. Teaching how to use the PCA pump (
C) and reviewing the pain scale (
D) are important for pain management but not specific to preventing postoperative complications.
Question 2 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 of 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place a black tag on the client's upper body and attempt to help the next client in need. In a multiple casualty incident, the concept of triage is crucial to prioritize care. The client in this scenario is apneic despite repositioning the airway, indicating a poor prognosis. Placing a black tag signifies that the client is not breathing and has no pulse, and resources should be allocated to those with a higher chance of survival. This decision maximizes the overall number of lives saved.
Choice A is incorrect because further repositioning will not change the client's status.
Choice B is incorrect as placing a red tag is reserved for clients with immediate life-threatening injuries but still have a chance of survival.
Choice D would be inappropriate as CPR is not indicated when the client does not have a pulse.
Question 3 of 5
A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B - Encourage the client to write down questions to ask the provider.
Rationale: Encouraging the client to write down questions will empower them to actively participate in their care, clarify doubts, and gather relevant information from the healthcare provider. This approach promotes client autonomy and ensures that the client is well-informed about their condition and treatment options. It also helps the client to remember all their concerns during the consultation with the provider.
Incorrect
Choices:
A: Providing internet articles may confuse the client with varying information sources and might not be tailored to their specific situation.
C: Explaining treatment options prematurely can overwhelm the client and may not be appropriate until the provider discusses the specific diagnosis and stage.
D: While assuring the client is important, this response does not actively engage the client in seeking information or clarifications.
Question 4 of 5
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg. This finding should be reported to the provider because it indicates a significant decrease in blood pressure, which could be a sign of hypotension or other cardiovascular complications post-surgery. Hypotension can lead to decreased perfusion to vital organs and tissues, potentially causing serious complications. The other choices (A, B, and
C) involve changes that are within a normal range for a postoperative patient and do not pose immediate risks to the client's well-being. Reporting the correct finding promptly allows for timely intervention and prevents further complications.
Question 5 of 5
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: B
Rationale: The correct answer is B. The RN from the maternal-newborn unit would be most familiar with postoperative care, making them a suitable choice for the client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the RN's skill set and experience.
Choice A involves a client with a stroke, which requires specialized care beyond the RN's expertise.
Choice C involves a client with acute pancreatitis, which is typically managed by medical-surgical nurses with experience in gastrointestinal disorders.
Choice D involves a client with end-stage renal disease, which requires specialized renal care expertise. Thus, assigning the postoperative client to the RN is the most appropriate choice.