ATI Capstone Exam 2 Final | Nurselytic

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ATI Capstone Exam 2 Final Questions

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Question 1 of 5

A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?

Correct Answer: D

Rationale: The correct answer is D because positioning the infant in a supine position while administering medication can increase the risk of choking or aspiration. The ideal position for administering oral medication to an infant is in an upright or semi-upright position to prevent these risks. Administering medication with an oral syringe (
A), inserting medication in the buccal cavity (
B), and allowing the infant to swallow some medication before administering more (
C) are all appropriate techniques for administering oral medication to infants. By positioning the infant in a supine position, the parent is not following the safe practice for administering oral medication to infants, hence indicating a need for further instruction.

Question 2 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?

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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 3 of 5

A nurse who is off duty finds a woman who has collapsed and has right-sided weakness and slurred speech. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Call emergency services. This action is crucial because the woman is showing signs of a stroke, which requires immediate medical attention. Calling emergency services will ensure that the woman receives prompt care and assessment by healthcare professionals. Driving the client to the emergency department (
A) could delay treatment and worsen the condition. Finding a location for the client to sit (
C) is not appropriate as the woman needs urgent medical attention. Obtaining the telephone number of the client's provider (
D) is not necessary in this emergency situation.

Question 4 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?

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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.

Question 5 of 5

A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as at risk?

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Correct Answer: B

Rationale: The correct answer is B: Assembly line worker. Assembly line workers are at risk for repetitive motion injuries due to the continuous and repetitive nature of their tasks, such as repetitive lifting and reaching. This constant movement can lead to musculoskeletal strain and injuries over time. Nursing assistants (choice
A) are also at risk due to tasks involving lifting and transferring patients. Truck drivers (choice
C) may experience musculoskeletal issues but are not primarily at risk for repetitive motion injuries. Elementary school teachers (choice
D) may experience repetitive tasks but are not as consistently exposed to the same level of repetitive motions as assembly line workers.

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