ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Acetaminophen. Acetaminophen is classified as pregnancy risk category B, indicating that it is generally considered safe to use during pregnancy. This is because acetaminophen has been widely studied and has not shown any harmful effects on the developing fetus.
Rationale:
1. Naproxen (
A), Aspirin (
B), and Ibuprofen (
C) are all classified as pregnancy risk category C or D, indicating a higher risk of harm to the fetus. These medications are not recommended during pregnancy due to potential adverse effects on the baby.
2. Acetaminophen (
D) is the safest choice among the options provided as it is commonly recommended for pain relief and fever reduction during pregnancy.
3. It is important to choose medications with a lower risk profile during pregnancy to minimize any potential harm to the developing fetus.
In summary, the nurse should include Acetaminophen in the teaching as it is a pregnancy risk
Question 2 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client about the use of a sequential compression device. This is important for preventing postoperative complications like deep vein thrombosis (DVT) by promoting circulation in the lower extremities. Discussing the visitation policy (
A) is not directly related to preventing postoperative complications. Teaching the client how to use the PCA pump (
C) is important for pain management but not specifically for preventing complications. Reviewing the pain scale (
D) is crucial for pain assessment but does not directly address postoperative complications.
Question 3 of 5
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: B
Rationale: The correct answer is B. The RN from the maternal-newborn unit would be most familiar with postoperative care, making them a suitable choice for the client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the RN's skill set and experience.
Choice A involves a client with a stroke, which requires specialized care beyond the RN's expertise.
Choice C involves a client with acute pancreatitis, which is typically managed by medical-surgical nurses with experience in gastrointestinal disorders.
Choice D involves a client with end-stage renal disease, which requires specialized renal care expertise. Thus, assigning the postoperative client to the RN is the most appropriate choice.
Question 4 of 5
A nurse is teaching a client about the uses of chamomile. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Chamomile may act as a calming agent. Chamomile is commonly used for its calming and relaxing properties, making it beneficial for reducing stress, anxiety, and promoting sleep. It is often consumed as a tea or used in aromatherapy for its soothing effects.
Summary of why other choices are incorrect:
B: Chamomile does have anti-inflammatory properties, but they are more commonly used for skin conditions like eczema and dermatitis, not cholesterol.
C: Chamomile is not known to decrease cholesterol levels.
D: Chamomile is commonly used to reduce nausea and vomiting, but the primary use is as a calming agent.
Question 5 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: The correct answer is A: Muffled heart sounds. In cardiac tamponade, fluid accumulates in the pericardial sac, compressing the heart. This results in muffled heart sounds due to decreased sound transmission through the fluid. Sudden lethargy (
B) may indicate worsening condition but is not specific to cardiac tamponade. Flattened neck veins (
C) are typically seen in hypovolemic shock, not cardiac tamponade. Bradycardia (
D) is not a common finding in cardiac tamponade, as it usually presents with tachycardia due to the heart's compensatory mechanisms.