ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who is preparing for a below-the-knee amputation. Which of the following statements is true regarding the postoperative placement of a prosthesis?
Correct Answer: B
Rationale: The correct answer is B: You will do muscle strengthening exercises in advance of getting your prosthesis. This is because muscle strengthening exercises are essential preoperatively to ensure that the residual limb is in optimal condition to support and adapt to the prosthesis postoperatively. Strengthening exercises help improve muscle tone, endurance, and overall function, which can facilitate a smoother transition to using a prosthesis.
Incorrect choices:
A: You will be fitted for your permanent prosthesis at the time of surgery - This is incorrect as immediate postoperative prosthesis fitting is rare due to the need for initial healing and shaping of the residual limb.
C: The structure of the prosthesis will be adjustable depending on what shoe you are wearing - This is incorrect as the adjustability of a prosthesis does not typically depend on the type of shoe being worn.
D: A special pressure dressing will remain in place even when your limb is healed to cushion your prosthesis - This
Question 2 of 5
A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?
Correct Answer: A
Rationale: The correct answer is A: "Please do not raise your voice at the children. I am the one who left the dishes in the sink." This statement shows effective communication by addressing a specific behavior (raising voice) and taking responsibility for one's actions (leaving dishes). It promotes understanding and problem-solving.
Choice B threatens and escalates conflict, not conducive to effective communication.
Choice C encourages open dialogue but lacks immediate conflict resolution.
Choice D involves blaming and does not address the issue constructively.
Question 3 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
Question 4 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?
Correct Answer: C
Rationale: The correct answer is C: Dextrose 10% in water. When TPN is delayed, it is important to provide a temporary source of glucose to prevent hypoglycemia. Dextrose 10% in water is the most appropriate choice as it provides a higher concentration of glucose compared to Dextrose 5%, helping to maintain the client's blood glucose levels until the TPN is available. 0.9% sodium chloride does not provide glucose which is essential in TPN replacement. Lactated Ringer’s solution does not contain glucose and is not suitable for providing caloric support.
Question 5 of 5
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of an acute hemolytic reaction?
Correct Answer: C
Rationale: The correct answer is C: Client report of low back pain. This is indicative of an acute hemolytic reaction during a blood transfusion. Hemolysis of red blood cells can lead to the release of hemoglobin, causing back pain. A productive cough (choice
A) is more likely to be associated with fluid overload. Distended neck veins (choice
B) can indicate fluid overload or heart failure. Tinnitus (choice
D) can be a sign of salicylate toxicity or ototoxicity but is not directly related to a hemolytic reaction.