ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A,B,D,E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Applying intermittent ice helps reduce inflammation and pain in the initial 48 hours post-injury.
B: Wrapping the ankle with a compression bandage provides support and helps reduce swelling.
D: Elevating the ankle above the heart helps reduce swelling by promoting fluid drainage.
E: Applying heat after 48 hours can help promote blood flow and aid in healing, but should not be used during the acute phase due to potential exacerbation of inflammation.
Incorrect
Choices:
C: Full weight-bearing is not recommended initially as it can worsen the injury.
Summary: The correct instructions focus on reducing swelling and pain, providing support, and promoting healing while avoiding actions that may exacerbate inflammation or worsen the injury.
Question 2 of 5
A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D: Systolic blood pressure changed from 140 mm Hg to 110 mm Hg. This finding should be reported to the provider because it indicates a significant decrease in blood pressure, which could be a sign of hypotension or other cardiovascular complications post-surgery. Hypotension can lead to decreased perfusion to vital organs and tissues, potentially causing serious complications. The other choices (A, B, and
C) involve changes that are within a normal range for a postoperative patient and do not pose immediate risks to the client's well-being. Reporting the correct finding promptly allows for timely intervention and prevents further complications.
Question 3 of 5
A nurse is caring for a child who is allergic to penicillin. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: D
Rationale: The correct answer is D: Amoxicillin-clavulanate. This is the best choice because it is a combination antibiotic that does not contain penicillin. Amoxicillin-clavulanate is a suitable alternative for patients allergic to penicillin.
Choice A (Erythromycin) is an acceptable choice as it is not related to penicillin.
Choice B (Gentamicin) is not a suitable alternative for penicillin allergy.
Choice C (Amphotericin
B) is an antifungal agent and not an antibiotic. Other choices are not provided. In summary, the nurse should clarify the prescription for Amoxicillin-clavulanate with the provider to ensure the child's safety due to penicillin allergy.
Question 4 of 5
A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Infuse the medication with an IV pump. Theophylline requires precise dosing and continuous monitoring due to its narrow therapeutic range. Using an IV pump ensures accurate infusion rate, reducing the risk of medication errors. Administering a test dose (
A) is unnecessary for theophylline. Covering the IV container with dark paper (
C) is not relevant. Infusing the medication at 35 mg/min (
D) may exceed safe limits and cause adverse effects.
Question 5 of 5
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client’s history?
Correct Answer: B
Rationale: The correct answer is B: Gallstones. Acute pancreatitis is commonly caused by gallstones blocking the pancreatic duct. This leads to inflammation of the pancreas. Hyperlipidemia (
A) is a risk factor for chronic pancreatitis, not acute. COPD (
C) and Diabetes mellitus (
D) are not directly associated with acute pancreatitis. In summary, the nurse should anticipate finding gallstones in the client's history due to its direct link to acute pancreatitis.