ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Rest frequently throughout the day. Rest is essential for the body to recover from hepatitis B, as it helps reduce fatigue and allows the immune system to work effectively. Hepatitis B can cause fatigue and weakness, making rest vital for healing.
Choice A is incorrect because a high-protein diet is not specifically necessary for managing hepatitis B.
Choice B is incorrect as individuals with hepatitis B should not donate blood due to the risk of transmitting the infection.
Choice C is incorrect because acetaminophen can be harmful to the liver, which is already compromised in hepatitis B. Thus, the best option is D, as rest is crucial for managing the condition effectively.
Question 2 of 5
A nurse is assessing a client prior to administering atenolol. Which of the following findings should prompt the nurse to withhold the medication?
Correct Answer: D
Rationale: The correct answer is D: Heart rate 46/min. Atenolol is a beta-blocker that slows down heart rate. A heart rate of 46/min indicates bradycardia, which is a contraindication for administering atenolol. Oxygen saturation of 95% (
A) is within normal range, respiratory rate of 18/min (
B) is also normal, and blood pressure of 160/94 mm Hg (
C) may be high but not a reason to withhold atenolol. In summary, bradycardia is the key factor in withholding atenolol, as it can further decrease heart rate and lead to adverse effects.
Question 3 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 4 of 5
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension?
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Lisinopril (
A) is an ACE inhibitor known to cause orthostatic hypotension. Furosemide (
D) is a loop diuretic that can lead to fluid loss and subsequent hypotension. Doxazosin (E) is an alpha-blocker that can cause vasodilation, leading to orthostatic hypotension in older adults. Clopidogrel (
B) is an antiplatelet agent and Atorvastatin (
C) is a statin, which are not typically associated with orthostatic hypotension in older adults.
Question 5 of 5
A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because avoiding contact with individuals who have received a live vaccine is crucial for a client with immunodeficiency to prevent exposure to potentially harmful pathogens. This is important as live vaccines contain weakened forms of the virus that can still cause infections in immunocompromised individuals.
Choice A is incorrect as white patches in the mouth could indicate a fungal infection, which may not be harmless in an immunodeficient individual.
Choice B is incorrect as a fever, even mild, could be a sign of infection that may be more severe in an immunodeficient client.
Choice D is irrelevant to immunodeficiency and does not impact the client's condition.