ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Eggs. Eggs are a good source of protein, which is important for clients with a colostomy to promote healing and overall health. They are easily digestible and less likely to cause issues like blockages or gas. Dried fruits (choice
A) and dried peas (choice
B) can be high in fiber and may lead to digestive problems for colostomy clients. Pasta (choice
D) can also be difficult to digest and may cause discomfort. Eggs are a versatile and nutritious option that can be beneficial for clients with a colostomy.
Question 2 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action?
Correct Answer: A
Rationale: The correct initial action is to check the drainage for glucose (
Choice
A). This is crucial because clear drainage after a transsphenoidal hypophysectomy may indicate a cerebrospinal fluid leak, which can be confirmed by the presence of glucose in the drainage. If glucose is present, it suggests leakage of cerebrospinal fluid and requires immediate intervention to prevent complications such as infection and meningitis. The other options (B, C, and
D) are not the most appropriate initial actions. Notifying the provider, documenting the amount of drainage, or obtaining a culture can be important steps but should come after confirming the presence of glucose to address the immediate concern of a potential cerebrospinal fluid leak.
Question 3 of 5
A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A: Administer the medications 5 minutes apart. Timolol and pilocarpine are both used to treat glaucoma but work differently. Timolol is a beta-blocker that reduces intraocular pressure while pilocarpine constricts the pupil to improve drainage. Administering them 5 minutes apart prevents one medication from washing out the other.
Choice B is incorrect as pressure on the conjunctival sac is not necessary.
Choice C is incorrect as contact lenses should be removed before administering eye drops.
Choice D is incorrect as touching the dropper tip to the eye can lead to infections.
Question 4 of 5
A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Eggs. Eggs are a good source of protein, which is important for clients with a colostomy to promote healing and overall health. They are easily digestible and less likely to cause issues like blockages or gas. Dried fruits (choice
A) and dried peas (choice
B) can be high in fiber and may lead to digestive problems for colostomy clients. Pasta (choice
D) can also be difficult to digest and may cause discomfort. Eggs are a versatile and nutritious option that can be beneficial for clients with a colostomy.
Question 5 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
To calculate the infusion time, divide the total volume (1000 mL) by the rate of infusion (200 mL/hr). This gives 5 hours for the IV pump to infuse the 1-L bag. The correct answer is 5. Other choices are incorrect because they do not result from the correct calculation.
Choice A: 2 hours (incorrect, not enough time for the infusion).
Choice B: 3 hours (incorrect, not enough time for the infusion).
Choice C: 4 hours (incorrect, not enough time for the infusion).
Choice D: 6 hours (incorrect, too long for the infusion).
Choice E: 7 hours (incorrect, too long for the infusion).
Choice F: 8 hours (incorrect, too long for the infusion).
Choice G: 9 hours (incorrect, too long for the infusion).