ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Restrict head movement. This instruction is crucial to prevent any further detachment of the retina before surgery. Excessive head movements can exacerbate the condition. Removing the eye patch in one month (
B) is incorrect as it does not address pre-operative care. Applying cool compresses (
C) may not be appropriate as it could interfere with the surgical site. Prescribing eye drops to constrict pupils (
D) is not necessary before surgery for retinal detachment.
Question 2 of 5
A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Correct answer: C. "I should keep my weight within 10 percent of my ideal weight."
Rationale: Maintaining weight within 10% of the ideal weight can help reduce lower back pain in perimenopausal women. Excess weight can strain the lower back, exacerbating pain. This statement shows an understanding of the importance of weight management in alleviating lower back pain.
Incorrect choices:
A: Wearing heels can worsen lower back pain by altering posture.
B: Sleeping with legs extended straight can strain the lower back.
D: Increasing high potassium foods may benefit overall health but is not directly related to lower back pain in perimenopausal women.
Question 3 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?
Correct Answer: 5.3
Rationale: The correct answer is 5.3 mL.
To calculate this, first convert the child's weight to kg (28 lb / 2.2 = 12.73 kg).
Then, multiply the weight by the dose (10 mg/kg) to get 127.3 mg. Next, calculate how many mL of the available acetaminophen solution contain 127.3 mg (127.3 mg / 120 mg/5 mL = 5.3 mL).
Therefore, the nurse should administer 5.3 mL.
Choice A: Incorrect, as it does not follow the correct calculation process.
Choice B-G: Irrelevant as they do not provide the correct calculation for determining the required mL for acetaminophen administration.
Question 4 of 5
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
Correct Answer: A
Rationale: The correct answer is A: Transporting a school-age client in traction. This assignment is unsafe because moving a client in traction requires specialized training and skill to prevent injury.
Choices B, C, and D involve activities that do not pose a risk to the volunteer or the client. Reading to a preschool client, playing a computer game, and rocking an infant are appropriate and safe interactions for a volunteer in a pediatric unit.
Question 5 of 5
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Providing written information about the medication is crucial for the caregiver to have a reference. Explaining the reason for taking the medication ensures understanding and compliance. Describing the adverse effects helps the caregiver monitor for potential complications.
Choice A is incorrect because kitchen spoons are not accurate for measuring medication.
Choice E is incorrect because completing the full course is essential for treatment success.