ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Aplastic anemia results from decreased bone marrow production of blood cells, causing pancytopenia. Increased RBC destruction, iron deficiency, and B12 absorption issues are unrelated conditions.
Question 2 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 hepatitis B vaccine is given within 24 hours of birth, the only vaccine before discharge. DTaP starts at 2 months, MMR at 12-15 months, and PCV13 at 2, 4, 6, and 12-15 months.
Question 3 of 5
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client’s most recent laboratory results and finds the client’s potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Informing the physician of a potassium level of 5.2 mEq/L (elevated) ensures the treatment plan is reassessed to avoid hyperkalemia. Verifying results delays action, omitting without consulting is incomplete, and giving KCL risks harm.
Question 4 of 5
A nurse is caring for a client in a critical care unit who suffered a knife wound to the chest. The nurse suspects the client is developing cardiac tamponade. Which of the following assessment findings should the nurse identify as supporting this suspicion?
Correct Answer: A
Rationale: Muffled heart sounds, part of Beck’s triad, indicate cardiac tamponade due to pericardial fluid. Lethargy is non-specific, neck veins are distended, and tachycardia, not bradycardia, is typical.
Question 5 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: Treating COPD is tertiary prevention, managing chronic disease to reduce complications. TB testing and STI screening are secondary, and flu immunizations are primary prevention.