ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will take this medication 1 hour before meals and at bedtime." This answer demonstrates understanding because sucralfate works best when the stomach is empty, allowing it to form a protective layer over the ulcer site. Taking it before meals and at bedtime ensures maximum effectiveness.
Incorrect choices:
A: Taking sucralfate with an antacid can decrease its effectiveness by altering its pH.
B: Reducing fluid intake is not necessary with sucralfate and can lead to dehydration.
D: Taking sucralfate as needed will not provide consistent protection for the ulcer.
Question 2 of 5
A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect?
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. Children with autism spectrum disorder often exhibit delayed language development (
B), repetitive behavior (
D), and playing with toys repetitively (E). Delayed language development is a common characteristic of autism, as individuals may have difficulty with communication skills. Repetitive behavior is another hallmark of autism, such as repetitive movements or insistence on sameness. Playing with toys repetitively is a common behavior seen in children with autism, as they may engage in repetitive activities or focus intensely on specific objects.
Choices A and C are incorrect as children with autism may have difficulty sustaining attention and struggle with eye contact.
Choices F and G are not provided.
Question 3 of 5
A nurse is caring for a client who is receiving positive pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications?
Correct Answer: B,C,D,E
Rationale: The correct interventions are B, C, D, and E. Administering pantoprazole helps prevent stress ulcers common in ventilated clients. Verifying ventilator settings ensures proper oxygenation and ventilation. Elevating the head of the bed minimizes risk of aspiration and ventilator-associated pneumonia. Repositioning the endotracheal tube prevents pressure ulcers and airway injury.
Choice A is incorrect as restraints are not recommended unless absolutely necessary.
Question 4 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Perform a neurovascular assessment. This is the priority action because it ensures circulation and nerve function are intact, preventing complications like compartment syndrome. Explanation of discharge instructions (
A) is important but not the priority. Providing reassurance (
C) is supportive but not urgent. Applying an ice pack (
D) can cause skin damage due to decreased sensation.
Question 5 of 5
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client’s lung has re-expanded?
Correct Answer: C
Rationale: The correct answer is C: No fluctuations in the water seal chamber. This indicates that the client's lung has re-expanded because there is no longer any air leaking from the pleural space into the chest tube drainage system. Fluctuations in the water seal chamber typically indicate that there is still air escaping from the lung, suggesting ongoing lung collapse or a leak in the system.
Choices A, B, and D do not directly indicate lung re-expansion and are more related to oxygenation, drainage system integrity, or pain management.