ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I should eat more bananas while taking this medication. Prednisone can cause potassium depletion, leading to potential side effects like muscle weakness and cramping. Bananas are a good source of potassium, so increasing intake can help prevent depletion.
Choice A is incorrect because aspirin should be avoided due to its potential to increase the risk of gastrointestinal bleeding when taken with prednisone.
Choice B is incorrect as a sore throat is not a common side effect of prednisone.
Choice C is incorrect as there is no specific timing requirement for the flu vaccine in relation to starting prednisone.
Question 2 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. This is the priority finding because it can indicate a serious issue with swallowing, leading to aspiration and malnutrition. The nurse should address dysphagia promptly to prevent complications. Urinary hesitancy (
A) may indicate prostate issues but is not as urgent. Swollen gums (
B) may suggest dental problems but are not immediately life-threatening. Pruritus (
D) can be uncomfortable but does not pose an immediate risk.
Question 3 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: A
Rationale: The correct answer is A: Fetal position is persistent occiput posterior. This position is associated with prolonged labor and severe backache due to the baby's head pressing against the mother's sacrum. A gynecoid pelvis (
B) is actually favorable for labor, not a contributing cause. Fetal attitude in general flexion (
C) is also favorable for labor. Fetal lie being longitudinal (
D) is normal.
Question 4 of 5
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy?
Correct Answer: A,B,C,E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Mispronouncing words may indicate speech difficulties.
B: Speaking in short sentences could suggest language development delay.
C: Stuttering may require intervention from a speech therapist.
E: Speaking in a nasally tone may indicate a speech disorder.
Incorrect
Choices:
D: Talking to oneself while reading is a common behavior and not necessarily indicative of needing speech therapy.
Question 5 of 5
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. Enoxaparin is an anticoagulant administered subcutaneously.
2. The air bubble in the prefilled syringe acts as a safety feature to prevent leakage of the medication.
3. Expelling the air bubble can lead to loss of medication, affecting dosage accuracy.
4.
Therefore, the nurse should not expel the air bubble to ensure the client receives the correct dose.
Summary:
A: Aspirating for a blood return is not necessary for subcutaneous injections.
B: Inserting the needle at a 45-degree angle is not specific to enoxaparin administration.
D: Administering 2.54 cm from the umbilicus is not a standard guideline for enoxaparin injections.