ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parent of a toddler about appropriate snacks. Which of the following foods should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Sliced bananas. Bananas are a good snack choice for toddlers due to their soft texture and easy digestibility. They are also a good source of potassium and dietary fiber. Raw celery (
A) may pose a choking hazard due to its stringy texture. Grapes (
B) should be cut into small pieces to prevent choking. Peanut butter (
C) can also be a choking hazard and may not be suitable for all toddlers due to potential allergies. Sliced bananas are a safe, nutritious, and easily manageable snack option for toddlers.
Question 2 of 5
A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Check that the client lifts the walker and then places it down in front of her.
Rationale: This action is correct because it ensures the client is using the walker properly to provide support and stability while walking. Lifting the walker before moving it forward helps prevent tripping over obstacles and ensures proper weight distribution. Placing it down in front of her also helps maintain balance and control during ambulation.
Summary of other choices:
A: Walking in front of the client may cause confusion and hinder the client's ability to maneuver the walker independently.
B: Ensuring the upper bar of the walker is level with the client's waist is important, but it is not the most critical action for the client's safety and proper use of the walker.
C: Having the client move one leg forward with the walker is a common ambulation technique but does not specifically address the proper use of the walker.
Question 3 of 5
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client’s lung has re-expanded?
Correct Answer: C
Rationale: The correct answer is C: No fluctuations in the water seal chamber. This indicates that the client's lung has re-expanded because there is no longer any air leaking from the pleural space into the chest tube drainage system. Fluctuations in the water seal chamber typically indicate that there is still air escaping from the lung, suggesting ongoing lung collapse or a leak in the system.
Choices A, B, and D do not directly indicate lung re-expansion and are more related to oxygenation, drainage system integrity, or pain management.
Question 4 of 5
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Drink 2 to 3 liters of water per day. Methotrexate is a medication that can cause kidney damage and dehydration. Increasing water intake helps to prevent kidney damage and maintain proper hydration levels. The other choices are incorrect because rinsing with an alcohol-based mouthwash can irritate the mouth and cause dryness (
A), taking methotrexate with an NSAID can increase the risk of side effects and interactions (
B), and taking an antiemetic 1 hour following administration does not address the hydration needs of the client (
C).
Question 5 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: A
Rationale: The correct answer is A: A private room in a quiet location on the unit. This is the best choice as it provides a calm and controlled environment which is essential for managing manic symptoms. Manic clients often have heightened energy levels, decreased need for sleep, and can be easily distracted. Placing them in a private room away from potential triggers like noise and distractions can help reduce stimulation and promote rest.
Choice B: A private room across from the exercise room may lead to increased activity and agitation, worsening manic symptoms.
Choice C: A semi-private room across from the day room may expose the client to high levels of activity and social interactions, which can exacerbate manic behaviors.
Choice D: A semi-private room across from the snack area may lead to increased impulsivity and unhealthy eating habits, which are common in manic episodes.
In summary, choice A is the best option as it provides a quiet and controlled environment to help manage manic symptoms effectively.