ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use contraception while taking this medication. Sumatriptan is contraindicated during pregnancy due to potential risks to the fetus.
Therefore, it is crucial for female clients of childbearing age to use contraception while on this medication.
Choice A is incorrect because the patch does not need to be activated after application.
Choice B is incorrect because sumatriptan is used for acute migraine attacks, not for daily prevention.
Choice D is incorrect because it is recommended to remove the patch before bathing to prevent it from getting wet and affecting its efficacy.
Question 2 of 5
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I should eat more bananas while taking this medication. Prednisone can cause potassium depletion, leading to potential side effects like muscle weakness and cramping. Bananas are a good source of potassium, so increasing intake can help prevent depletion.
Choice A is incorrect because aspirin should be avoided due to its potential to increase the risk of gastrointestinal bleeding when taken with prednisone.
Choice B is incorrect as a sore throat is not a common side effect of prednisone.
Choice C is incorrect as there is no specific timing requirement for the flu vaccine in relation to starting prednisone.
Question 3 of 5
A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. Using handrails in the bathroom promotes safety by providing support and stability, reducing the risk of falls. This indicates an understanding of fall prevention.
Choice B about a longer telephone cord is unrelated to fall prevention.
Choice C increases the risk of tripping over cords.
Choice D suggests using chairs without armrests can affect stability and increase the risk of falls.
Question 4 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (G85). Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale: The nurse should ask about recent influenza infection (
Choice
A) because Guillain-Barré syndrome is often preceded by a viral illness, such as influenza. This information is crucial for diagnosis and treatment. Travel history (
Choice
B) is less relevant as the cause is more likely viral. Chronic alcohol abuse (
Choice
C) and multivitamin use (
Choice
D) are not directly related to Guillain-Barré syndrome.
Question 5 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: D
Rationale: The correct answer is D: Low-sodium, fluid-restricted diet. In acute glomerulonephritis, the kidneys are unable to effectively remove excess sodium and fluid, leading to edema and reduced urine output. A low-sodium diet helps reduce fluid retention and prevent further edema. Fluid restriction is also crucial to prevent overload.
Choices A, B, and C do not specifically address the primary issue of fluid retention in glomerulonephritis. A low-protein diet is generally recommended in chronic kidney disease, not necessarily in acute glomerulonephritis. A regular diet with no added salt does not adequately address the need for sodium and fluid restriction in this case.