ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?
Correct Answer: B
Rationale: The correct answer is B: Thyroid hormones. Excessive thyroid hormone can lead to increased bone resorption and decreased bone formation, increasing the risk of osteoporosis. Cardiac glycosides (
A) are not known to be a risk factor for osteoporosis. Anticoagulants (
C) and NSAIDs (
D) are not directly associated with bone loss related to osteoporosis. Thyroid hormones (
B) directly affect bone metabolism, making it the correct choice.
Question 2 of 5
A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of an acute hemolytic reaction?
Correct Answer: C
Rationale: The correct answer is C: Client report of low back pain. This is indicative of an acute hemolytic reaction during a blood transfusion. Hemolysis of red blood cells can lead to the release of hemoglobin, causing back pain. A productive cough (choice
A) is more likely to be associated with fluid overload. Distended neck veins (choice
B) can indicate fluid overload or heart failure. Tinnitus (choice
D) can be a sign of salicylate toxicity or ototoxicity but is not directly related to a hemolytic reaction.
Question 3 of 5
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?
Correct Answer: B
Rationale: Tertiary prevention focuses on managing and treating existing conditions to prevent complications and further deterioration. Providing treatment for clients with chronic obstructive pulmonary disease aligns with this level by aiming to minimize the impact of the disease and prevent exacerbations. Testing new nurses for exposure to tuberculosis (
A) is an example of primary prevention as it aims to prevent the initial occurrence of the disease. Performing screening for sexually transmitted infections (
C) falls under secondary prevention, which aims to detect and treat diseases in early stages. Administering influenza immunizations (
D) is considered primary prevention as it aims to prevent the occurrence of influenza.
Question 4 of 5
A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Focus on providing care that prevents life-threatening emergencies. During a disaster situation with limited staffing, the nurse's priority is to ensure the safety and well-being of the clients. By focusing on providing care that prevents life-threatening emergencies, the nurse can address immediate and critical needs to stabilize and protect clients. This action aligns with disaster protocols, which prioritize the preservation of life.
A: Reinforcing discharge teaching to clients is not a priority during a disaster situation.
B: Instructing assistive personnel to focus on clients' activities of daily living (ADLs) may not address the immediate life-threatening needs of clients during a disaster.
C: Stocking additional unit supplies is important but may not be the immediate priority when dealing with a limited staff during a disaster.
In summary, the nurse should prioritize actions that address preventing life-threatening emergencies to ensure the safety and well-being of clients during a disaster.
Question 5 of 5
A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose?
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total dose of 30 mg daily, with each tablet containing 10 mg, the nurse should administer 3 tablets per dose. This calculation ensures the client receives the prescribed dosage. Other choices are incorrect because administering fewer tablets would result in an inadequate dose, while administering more tablets would exceed the prescribed dosage, potentially leading to adverse effects. It is essential to follow precise calculations to ensure safe and effective medication administration.