ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following instructions should the nurse give the children’s parents?
Correct Answer: B
Rationale: The correct answer is B: Seal nonwashable items in airtight plastic bags. This instruction is important to prevent the spread of head lice by isolating infested items. By sealing nonwashable items, such as stuffed animals or pillows, in airtight bags, the lice will eventually die off without being able to transfer to other individuals. This method helps contain the infestation and stop it from spreading.
Incorrect choices:
A: Spray countertops and sinks with insecticide - This is unnecessary and potentially harmful to children.
C: Inspect any dogs or cats at home for lice - Head lice are species-specific and do not infest pets.
D: Soak all combs and hairbrushes in alcohol - While cleaning combs and hairbrushes is important, soaking them in alcohol is excessive and can damage the items.
Question 2 of 5
A nurse is providing teaching about phenylketonuria (PKU) testing to the parent of a newborn. Which of the following statements by the parent indicates a need for additional teaching?
Correct Answer: A
Rationale: The correct answer is A because PKU testing does not involve placing the baby under special lights. The test is a simple blood test to check for levels of phenylalanine. Placing the baby under special lights is a treatment for jaundice, not for PKU.
Choice B is correct as PKU can be managed with a special diet low in phenylalanine.
Choice C is accurate as sometimes the test is repeated to confirm the results.
Choice D is also correct as the baby needs to be consuming protein (from formula or breast milk) before the test.
Question 3 of 5
A nurse is caring for a client who has pruritus following treatment for scabies. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Provide mittens for the client to wear at night when pruritus is typically worse. Mittens can prevent the client from scratching the affected areas during sleep, reducing skin damage and promoting healing. Option A could worsen the pruritus by further irritating the skin. Option B may exacerbate itching due to heat. Option C is unnecessary as scabicide has already been applied. Providing mittens (Option
D) addresses the issue directly.
Question 4 of 5
A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the new nurse indicates the teaching has been effective?
Correct Answer: C
Rationale: The correct answer is C. Maintaining a dry dressing over the sac of an infant with myelomeningocele is crucial to prevent infection and promote healing. Placing the infant in a side-lying position (
A) is generally recommended but not specific to myelomeningocele care. Performing range of motion on the infant's hips (
B) is important for overall mobility but not directly related to myelomeningocele care. Taking an axillary temperature (
D) is a routine nursing task but not specific to this situation.
Question 5 of 5
A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
Correct Answer: 1370
Rationale: The correct answer is 1370 mL.
To calculate the client's output, we add the voided urine (400 mL + 350 mL = 750 mL), chest drainage system (175 mL - 155 mL = 20 mL), NG tube drainage (575 mL), and Jackson-Pratt drainage tube (25 mL).
Total output = 750 mL (urine) + 20 mL (chest drainage) + 575 mL (NG tube) + 25 mL (JP tube) = 1370 mL. This total represents all the fluids eliminated by the client during the shift. Other choices are incorrect as they either do not include all the relevant outputs or are calculated incorrectly.