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 important for preventing postoperative complications like deep vein thrombosis (DVT) by promoting circulation in the lower extremities. Discussing the visitation policy (
A) is not directly related to preventing postoperative complications. Teaching the client how to use the PCA pump (
C) is important for pain management but not specifically for preventing complications. Reviewing the pain scale (
D) is crucial for pain assessment but does not directly address postoperative complications.
Question 2 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 3 of 5
A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Infuse the medication with an IV pump. Theophylline requires precise dosing and continuous monitoring due to its narrow therapeutic range. Using an IV pump ensures accurate infusion rate, reducing the risk of medication errors. Administering a test dose (
A) is unnecessary for theophylline. Covering the IV container with dark paper (
C) is not relevant. Infusing the medication at 35 mg/min (
D) may exceed safe limits and cause adverse effects.
Question 4 of 5
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use contraception while taking this medication. Sumatriptan is contraindicated during pregnancy due to potential risks to the fetus.
Therefore, it is crucial for female clients of childbearing age to use contraception while on this medication.
Choice A is incorrect because the patch does not need to be activated after application.
Choice B is incorrect because sumatriptan is used for acute migraine attacks, not for daily prevention.
Choice D is incorrect because it is recommended to remove the patch before bathing to prevent it from getting wet and affecting its efficacy.
Question 5 of 5
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
Correct Answer: B
Rationale: The correct answer is B. The nurse should be concerned because squinting to see the board may indicate vision problems, such as nearsightedness or astigmatism, which can affect the child's learning and development. The other choices are not as concerning: A is a common behavior in children, C is a normal developmental milestone, and D is a typical behavior in board games at this age.