ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your baby will only receive the hepatitis B vaccine prior to discharge. This is correct because the hepatitis B vaccine is typically given to newborns shortly after birth, before discharge from the hospital. This vaccination helps protect against hepatitis B virus infection. The other options are incorrect because: A is incorrect as the first diphtheria, tetanus, pertussis vaccine is usually given at 2 months, not 2 weeks. B is incorrect because the measles, mumps, rubella vaccine is typically given at around 12-15 months, not 6 months. D is incorrect as the pneumococcal conjugate vaccine is usually given at 2, 4, 6, and 12-15 months, not just on the first birthday. E, F, G are not provided as options.
Question 2 of 5
A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Correct Answer: D
Rationale: The correct answer is D because positioning the infant in a supine position while administering medication can increase the risk of choking or aspiration. The ideal position for administering oral medication to an infant is in an upright or semi-upright position to prevent these risks. Administering medication with an oral syringe (
A), inserting medication in the buccal cavity (
B), and allowing the infant to swallow some medication before administering more (
C) are all appropriate techniques for administering oral medication to infants. By positioning the infant in a supine position, the parent is not following the safe practice for administering oral medication to infants, hence indicating a need for further instruction.
Question 3 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.
Question 4 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: D
Rationale: The correct answer is D: Pale pink. After a transurethral prostatectomy, it is common for clients to have pale pink urine due to the presence of blood in the urine post-catheter removal. The pink color is a result of minor bleeding from the surgical site and is expected within the initial days following the procedure. Bright yellow (choice
A), bright red (choice
B), and dark amber (choice
C) are not typically associated with post-prostatectomy urine color changes. Bright red urine could indicate significant bleeding and should be reported.
Question 5 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don’t know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I’m hearing that you are concerned that it might turn out that you have cancer." This response shows empathy and active listening by acknowledging the client's fear without dismissing it. It validates the client's feelings and opens up communication for further discussion and support. Option A is incorrect because it may come off as confrontational and dismissive. Option B is incorrect as it simply denies the client's worry without addressing the underlying emotion. Option D is inappropriate as it deflects the client's concern. It's essential to address the client's emotional needs in a sensitive manner during such a vulnerable time.