ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: "I should eat a snack half an hour before playing soccer."
Rationale:
1. Timing of snack: Eating a snack before physical activity helps prevent hypoglycemia during exercise.
2. Specific activity mentioned: Playing soccer can lead to rapid glucose consumption, making a pre-activity snack crucial.
3. Shows understanding: Recognizing the need for a pre-exercise snack indicates awareness of managing blood sugar levels during physical activity.
Incorrect
Choices:
B: Morning glucose range is correct, but it doesn't demonstrate understanding of immediate actions.
C: Skipped insulin during sickness can lead to DKA, not recommended.
D: Insulin should be stored in the fridge, not freezer, to maintain stability.
E, F, G: No information provided.
In summary, choice A is correct as it addresses a specific scenario and demonstrates understanding of managing blood sugar levels during physical activity. Other choices lack specificity or may lead to incorrect actions.
Question 2 of 5
A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant’s apical heart rate is less than what rate?
Correct Answer: A
Rationale: The correct answer is A: 90 bpm. For infants, a normal heart rate is typically around 120-160 bpm. However, the threshold for administering digoxin is usually set at a lower rate to prevent toxicity. If the infant's heart rate is below 90 bpm, it may indicate bradycardia, which is a contraindication for digoxin administration as it can further slow down the heart rate and lead to serious complications.
Therefore, withholding the dose is crucial to prevent harm to the infant.
Choices B, C, and D are incorrect as they are higher heart rates and would not be the threshold for withholding the dose.
Question 3 of 5
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A. Vitamin K is essential for bone health as it helps in calcium absorption and bone mineralization.
Therefore, reducing intake of vitamin K-rich foods can be detrimental in preventing osteoporosis.
Choices B, C, and D are all correct as they are beneficial in preventing osteoporosis by reducing sodium, caffeine, and soft drink intake, respectively. These choices help in maintaining bone density and overall bone health.
Question 4 of 5
A nurse is teaching a client about the uses of chamomile. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Chamomile may act as a calming agent. Chamomile is commonly used for its calming and relaxing properties, making it beneficial for reducing stress, anxiety, and promoting sleep. It is often consumed as a tea or used in aromatherapy for its soothing effects.
Summary of why other choices are incorrect:
B: Chamomile does have anti-inflammatory properties, but they are more commonly used for skin conditions like eczema and dermatitis, not cholesterol.
C: Chamomile is not known to decrease cholesterol levels.
D: Chamomile is commonly used to reduce nausea and vomiting, but the primary use is as a calming agent.
Question 5 of 5
A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?
Correct Answer: A
Rationale: Bedtime rituals create security and promote sleep. Evening play stimulates, explaining fears is less effective, and complete darkness may scare the toddler; a nightlight is better.