ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: The correct answer is D: Inserting a nasogastric tube for a client. LPNs have the training and scope of practice to perform this task safely and effectively. They can insert nasogastric tubes under the supervision of an RN.
A: Measuring a client's I&O - This task involves critical thinking and assessment skills usually performed by RNs.
B: Obtaining a client's weight - This task is within the scope of APs or nursing assistants.
C: Providing postmortem care for a client - This is typically performed by RNs due to the sensitive nature of the task.
Question 2 of 5
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use contraception while taking this medication. Sumatriptan is contraindicated during pregnancy due to potential risks to the fetus.
Therefore, it is crucial for female clients of childbearing age to use contraception while on this medication.
Choice A is incorrect because the patch does not need to be activated after application.
Choice B is incorrect because sumatriptan is used for acute migraine attacks, not for daily prevention.
Choice D is incorrect because it is recommended to remove the patch before bathing to prevent it from getting wet and affecting its efficacy.
Question 3 of 5
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension?
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Lisinopril (
A) is an ACE inhibitor known to cause orthostatic hypotension. Furosemide (
D) is a loop diuretic that can lead to fluid loss and subsequent hypotension. Doxazosin (E) is an alpha-blocker that can cause vasodilation, leading to orthostatic hypotension in older adults. Clopidogrel (
B) is an antiplatelet agent and Atorvastatin (
C) is a statin, which are not typically associated with orthostatic hypotension in older adults.
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?
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 caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B - Encourage the client to write down questions to ask the provider.
Rationale: Encouraging the client to write down questions will empower them to actively participate in their care, clarify doubts, and gather relevant information from the healthcare provider. This approach promotes client autonomy and ensures that the client is well-informed about their condition and treatment options. It also helps the client to remember all their concerns during the consultation with the provider.
Incorrect
Choices:
A: Providing internet articles may confuse the client with varying information sources and might not be tailored to their specific situation.
C: Explaining treatment options prematurely can overwhelm the client and may not be appropriate until the provider discusses the specific diagnosis and stage.
D: While assuring the client is important, this response does not actively engage the client in seeking information or clarifications.