ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: D
Rationale: The correct answer is D: Levothyroxine. The rationale is that levothyroxine is a medication commonly used to treat hypothyroidism by replacing the deficient thyroid hormone. It helps regulate the body's metabolism and energy levels. Levofloxacin (
A) is an antibiotic used to treat bacterial infections, not related to hypothyroidism. Radioactive iodine (
B) is used to treat hyperthyroidism by destroying thyroid tissue, not applicable for hypothyroidism. Sumatriptan (
C) is used to treat migraines, not related to hypothyroidism.
Therefore, the nurse should prepare to instruct the client on levothyroxine for managing hypothyroidism effectively.
Question 2 of 5
A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Coagulation disorder. A kidney biopsy involves inserting a needle into the kidney to obtain a tissue sample. If a client has a coagulation disorder, there is an increased risk of excessive bleeding during the procedure. This could lead to serious complications such as hemorrhage.
Flank pain (
A) is a common symptom in kidney conditions but is not a contraindication for a kidney biopsy. Elevated creatinine level (
B) may indicate kidney dysfunction but is not a direct contraindication for the procedure. Urinary retention (
D) does not directly affect the safety of a kidney biopsy.
Question 3 of 5
A nurse is teaching about disease management for a client who has type 1 diabetes mellitus. Which statement made by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because administering insulin injections in the abdominal area helps with faster absorption and consistent insulin action. This practice is recommended for clients with type 1 diabetes to maintain stable blood sugar levels.
Choice B is incorrect as blood sugar readings should ideally be taken before meals.
Choice C is incorrect because insulin does not allow unrestricted consumption of high-sugar foods like ice cream.
Choice D is incorrect because a weight reduction program, if managed properly, should not lead to hypoglycemia in a client with type 1 diabetes.
Question 4 of 5
A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?
Correct Answer: D
Rationale: The correct answer is D: Levothyroxine. The rationale is that levothyroxine is a medication commonly used to treat hypothyroidism by replacing the deficient thyroid hormone. It helps regulate the body's metabolism and energy levels. Levofloxacin (
A) is an antibiotic used to treat bacterial infections, not related to hypothyroidism. Radioactive iodine (
B) is used to treat hyperthyroidism by destroying thyroid tissue, not applicable for hypothyroidism. Sumatriptan (
C) is used to treat migraines, not related to hypothyroidism.
Therefore, the nurse should prepare to instruct the client on levothyroxine for managing hypothyroidism effectively.
Question 5 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Continue to monitor the client's respiratory status. Slow, steady bubbling in the suction control chamber indicates that the system is functioning properly. This bubbling is expected as it shows that the system is maintaining the desired negative pressure. Monitoring the client's respiratory status is essential to ensure that there are no underlying respiratory complications post-thoracotomy.
Option B is incorrect because clamping the chest tube can lead to a tension pneumothorax. Option C is incorrect as checking the suction control outlet on the wall is not necessary in this situation. Option D is incorrect as checking tubing connections for leaks is not indicated when there is slow, steady bubbling. It's crucial to understand the rationale behind each option to make the best clinical decision.