ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: B
Rationale: The correct answer is B. The RN from the maternal-newborn unit would be most familiar with postoperative care, making them a suitable choice for the client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the RN's skill set and experience.
Choice A involves a client with a stroke, which requires specialized care beyond the RN's expertise.
Choice C involves a client with acute pancreatitis, which is typically managed by medical-surgical nurses with experience in gastrointestinal disorders.
Choice D involves a client with end-stage renal disease, which requires specialized renal care expertise. Thus, assigning the postoperative client to the RN is the most appropriate choice.
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
An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
Correct Answer: B
Rationale: The correct answer is B. The RN from the maternal-newborn unit would be most familiar with postoperative care, making them a suitable choice for the client one-day postoperative following a total abdominal hysterectomy. This assignment aligns with the RN's skill set and experience.
Choice A involves a client with a stroke, which requires specialized care beyond the RN's expertise.
Choice C involves a client with acute pancreatitis, which is typically managed by medical-surgical nurses with experience in gastrointestinal disorders.
Choice D involves a client with end-stage renal disease, which requires specialized renal care expertise. Thus, assigning the postoperative client to the RN is the most appropriate choice.
Question 4 of 5
A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Position the newborn at a 45-degree angle in the car seat. This is important because newborns have limited neck strength and need to be positioned at a reclined angle to keep their airway open and prevent their head from flopping forward, reducing the risk of suffocation. Placing the newborn at a 45-degree angle also helps prevent slumping which can compromise their breathing.
A: Placing the shoulder harness straps below the newborn's armpits can lead to improper positioning and potential injury in case of a crash.
B: Keeping the car seat rear-facing until the newborn can sit unsupported is a general guideline but not specific to the proper angle of positioning.
C: Placing the retainer clip across the newborn's abdomen can cause abdominal injury in a crash and should be positioned at armpit level.
E, F, G: No additional choices provided.
Question 5 of 5
A nurse is caring for a client who has acute pancreatitis. After treating the client’s pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Withhold oral fluids and food. In acute pancreatitis, the priority intervention is to rest the pancreas by withholding oral intake to reduce pancreatic stimulation and prevent further inflammation and digestive enzyme release. This is crucial in managing the condition and preventing complications. Auscultating the lungs (
B) is important but not the priority in this case. Providing oral hygiene (
C) and assisting the client to a side-lying position (
D) are not directly related to managing acute pancreatitis.