ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
Correct Answer: A
Rationale: The correct answer is A: Transporting a school-age client in traction. This assignment is unsafe because moving a client in traction requires specialized training and skill to prevent injury.
Choices B, C, and D involve activities that do not pose a risk to the volunteer or the client. Reading to a preschool client, playing a computer game, and rocking an infant are appropriate and safe interactions for a volunteer in a pediatric unit.
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 preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?
Correct Answer: B
Rationale: The correct answer is B: Cigarette smoking. Smoking is a modifiable risk factor for cardiovascular disease as individuals can quit smoking to reduce their risk. This is supported by extensive research showing the harmful effects of smoking on the cardiovascular system.
A: Increasing age is a non-modifiable risk factor, as age is a natural process.
C: Family history of cardiac disease is a non-modifiable risk factor, as it is genetic and beyond individual control.
D: Diagnosis of diabetes mellitus is a risk factor, but it is not modifiable. Managing diabetes can reduce the risk of complications but cannot eliminate the underlying condition.
Question 4 of 5
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. Enoxaparin is an anticoagulant administered subcutaneously.
2. The air bubble in the prefilled syringe acts as a safety feature to prevent leakage of the medication.
3. Expelling the air bubble can lead to loss of medication, affecting dosage accuracy.
4.
Therefore, the nurse should not expel the air bubble to ensure the client receives the correct dose.
Summary:
A: Aspirating for a blood return is not necessary for subcutaneous injections.
B: Inserting the needle at a 45-degree angle is not specific to enoxaparin administration.
D: Administering 2.54 cm from the umbilicus is not a standard guideline for enoxaparin injections.
Question 5 of 5
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client’s neurovascular status?
Correct Answer: B
Rationale: The correct answer is B: Palpate the femoral pulse. When assessing neurovascular status in a client with an unrepaired femur fracture, palpating the femoral pulse is crucial to determine adequate circulation to the lower limb. Absence of the femoral pulse may indicate compromised blood flow, which is a medical emergency requiring immediate intervention. Monitoring calf for edema (
A) is more related to venous status rather than neurovascular assessment. Measuring thigh circumference (
C) does not directly assess neurovascular status. Instructing the client to wiggle his toes (
D) assesses motor function, not neurovascular status.