ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for pancrelipase to aid in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes?
Correct Answer: A
Rationale: Pancrelipase improves fat digestion, reducing steatorrhea in pancreatic insufficiency. It does not specifically address watery stools, mucus, or black tarry stools (indicating bleeding).
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?
Correct Answer: C
Rationale: Discontinuing the chemotherapy medication due to kidney failure aligns with nonmaleficence, the principle of doing no harm. Stopping the treatment prevents further harm to the client. Veracity involves truthfulness, fidelity is about keeping promises, and autonomy respects patient decision-making, none of which directly apply here.
Question 4 of 5
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: For a single missed oral contraceptive dose in the first week, the client should take the missed dose as soon as possible and continue the regular schedule, even if it means two pills in one day. This maintains contraceptive efficacy. Stopping pills, testing for pregnancy, or abstaining until the next period are unnecessary for one missed dose.
Question 5 of 5
A nurse at a provider’s office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Adding cream to soups, dipping meats in eggs and bread crumbs, using milk in recipes, and topping fruits with yogurt increase calorie and protein intake, aiding weight maintenance during chemotherapy. Increasing fluids during meals may reduce food intake by causing fullness, not addressing nutritional needs.