ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Correct answer: C. "I should keep my weight within 10 percent of my ideal weight."
Rationale: Maintaining weight within 10% of the ideal weight can help reduce lower back pain in perimenopausal women. Excess weight can strain the lower back, exacerbating pain. This statement shows an understanding of the importance of weight management in alleviating lower back pain.
Incorrect choices:
A: Wearing heels can worsen lower back pain by altering posture.
B: Sleeping with legs extended straight can strain the lower back.
D: Increasing high potassium foods may benefit overall health but is not directly related to lower back pain in perimenopausal women.
Question 2 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 3 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: A
Rationale: The correct answer is A: A private room in a quiet location on the unit. This is the best choice as it provides a calm and controlled environment which is essential for managing manic symptoms. Manic clients often have heightened energy levels, decreased need for sleep, and can be easily distracted. Placing them in a private room away from potential triggers like noise and distractions can help reduce stimulation and promote rest.
Choice B: A private room across from the exercise room may lead to increased activity and agitation, worsening manic symptoms.
Choice C: A semi-private room across from the day room may expose the client to high levels of activity and social interactions, which can exacerbate manic behaviors.
Choice D: A semi-private room across from the snack area may lead to increased impulsivity and unhealthy eating habits, which are common in manic episodes.
In summary, choice A is the best option as it provides a quiet and controlled environment to help manage manic symptoms effectively.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: D
Rationale: The correct answer is D: Family history. Urolithiasis, also known as kidney stones, can have a genetic component, making a family history a significant risk factor. Individuals with a family history of kidney stones are more likely to develop them themselves. Diuretic use (
A) can contribute to stone formation but is not as directly linked as family history. A BMI less than 25 (
B) is not a direct risk factor for urolithiasis. Hypocalcemia (
C) may increase the risk of certain types of stones, but it is not a universal risk factor.
Question 5 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.