ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. This is the priority finding because it can indicate a serious issue with swallowing, leading to aspiration and malnutrition. The nurse should address dysphagia promptly to prevent complications. Urinary hesitancy (
A) may indicate prostate issues but is not as urgent. Swollen gums (
B) may suggest dental problems but are not immediately life-threatening. Pruritus (
D) can be uncomfortable but does not pose an immediate risk.
Question 2 of 5
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client’s lung has re-expanded?
Correct Answer: C
Rationale: The correct answer is C: No fluctuations in the water seal chamber. This indicates that the client's lung has re-expanded because there is no longer any air leaking from the pleural space into the chest tube drainage system. Fluctuations in the water seal chamber typically indicate that there is still air escaping from the lung, suggesting ongoing lung collapse or a leak in the system.
Choices A, B, and D do not directly indicate lung re-expansion and are more related to oxygenation, drainage system integrity, or pain management.
Question 3 of 5
A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy?
Correct Answer: A,B,C,E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Mispronouncing words may indicate speech difficulties.
B: Speaking in short sentences could suggest language development delay.
C: Stuttering may require intervention from a speech therapist.
E: Speaking in a nasally tone may indicate a speech disorder.
Incorrect
Choices:
D: Talking to oneself while reading is a common behavior and not necessarily indicative of needing speech therapy.
Question 4 of 5
A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?
Correct Answer: D
Rationale: The correct answer is D:
Tomato juice.
Tomato juice contains vitamin C, which enhances the absorption of nonheme iron. Vitamin C helps to convert nonheme iron into a more absorbable form, increasing the body's ability to take in iron from plant-based sources. Tea (
A) contains compounds that can inhibit iron absorption. Dried beans (
B) contain phytates that can reduce iron absorption. Milk (
C) contains calcium which can inhibit iron absorption.
Therefore, the best recommendation for enhancing iron absorption when consuming nonheme iron is to include foods rich in vitamin C, such as tomato juice.
Question 5 of 5
A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I may have a dry mouth while taking this medication." This is correct because chlorpromazine is an antipsychotic medication known to cause dry mouth as a common side effect due to its anticholinergic properties. Dry mouth is a potential adverse effect that the client should be aware of.
Choice B is incorrect because chlorpromazine does not typically cause increased urination.
Choice C is incorrect because chlorpromazine is not indicated for smoking cessation.
Choice D is incorrect because flu-like symptoms are not a common side effect of chlorpromazine.