ATI PN CAPSTONE EXAM 3 2022/2023
1. Select the member of the healthcare team that is paired with one of the main functions of this team
... [Show More] member.
a. Occupational therapist: Gait exercises
b. Physical therapist: The provision of assistive devices to facilitate the activities of daily living
c. Speech and language therapist: The treatment of swallowing disorders
d. Case manager: Ordering medications and treatments
2. The recommended daily caloric intake for sedentary older men, active adult women and children is
a. 2400 calories
b. 1600 calories
c. 2800 calories
d. 2000 calories
3. Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients.a. Visual losses
b. Kaposi’s sarcoma
c. Wilms’ sarcoma
d. Tuberculosis
e. Peripheral neuropathy
f. Toxoplasma gondii
4. When caring for an infant during cardiac arrest, which pulse must be palpated to determine cardiac function? a. Carotid
b. Brachial
c. Pedal
d. Radial
5. Which disease decreases metabolic rate?
a. Cancer
b. Hypothyroidism
c. COPD
d. Cardiac failure
6. The patient should be sitting when deep breathing and coughing because this position:
a. Is physically more comfortable for the patient
b. Helps the patient to support their incision with a pillow
c. Loosens respiratory secretions
d. Allows the patient to observe their area and relax
7. Which procedures necessitate the use of surgical asepsis techniques? Select all that apply.
a. Intramuscular medication administration
b. Central line intravenous medication administration
c. Donning gloves in the operating room
d. Neonatal bathing
e. Foley catheter insertion
f. Emptying a urinary drainage bag
8. What is the ultimate purpose and goal of performance improvement activities?
a. To increase efficiency
b. To contain costs
c. To improve processes
d. To improve policies
9. The primary difference between practical nursing licensure and a nursing certification in an area of practice is that nursing licensure is:
a. Insures competency and a nursing certification validates years of experience.
b. Mandated by the American Nurses Association and a nursing certification are not.
c. Is legally mandated by the states and a nursing certification is not.
d. Renewed every two years and a nursing certification is renewed every five years.
10. What intervention is the best to relieve constipation during pregnancy?
a. Increasing the consumption of fruits and vegetables
b. Taking a mild over-the-counter laxative
c. Lying flat on back when sleeping
d. Reduction of iron intake by half or more
11. If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse anticipate that the client has problems with:
a. Body temperature control.
b. Balance and equilibrium
c. Visual acuity
d. Thinking and reasoning
12. A female client who’s paralyzed on the left side has been receiving physical therapy and attending teaching sessions about safety. Which behavior indicates that the client accurately understands safety measures related to paralysis?
a. The client leaves the side rails down
b. The client uses a mirror to inspect the skin
c. The client repositions only after being reminded to do so.
d. The client hangs the left arm over the side of the wheelchair
13. A male client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client’s feet make a half circle. To document the client’s gait, the nurse should use which term?
a. Ataxic
b. Dystrophic
c. Helicopod
d. Steppage
14. Contact of client on radiation therapy should be limited only to how many minutes to promote safety of the therapy personnel?
a. 1 minute
b. 3 minutes
c. 5 minutes
d. 10 minutes
15. The physician has ordered a low-potassium diet for a child with acute glomerulonephritis. Which snack is suitable for the child with potassium restrictions?
a. Raisins
b. Oranges
c. Apricots
d. Bananas
16. The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:
a. Withholding intake after midnight
b. Telling the client that no special preparation is needed
c. Explaining that a small dose of radioactive isotope will be used
d. Giving an oral suspension of glucose 1 hour before the test
17. The nurse is preparing to give an oral potassium supplement. The nurse should:
a. Give the medication without diluting it
b. Give the medication with 4 ounces of juice
c. Give the medication with water only
d. Give the medication on an empty stomach
18. The physician has ordered cultures for cytomegalovirus (CMV). Which statement is true regarding collection of cultures for cytomegalovirus?
a. Stool cultures are preferred for definitive diagnosis
b. Pregnant caregivers may obtain cultures
c. Collection of one specimen is sufficient
d. Accurate diagnosis depends on fresh specimens
19. A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon
(mafenide acetate) cream. The nurse is aware that the medication:
a. Will cause dark staining of the surrounding skin
b. Produces a cooling sensation when applied
c. Can alter the function of the thyroid
d. Produces a burning sensation when applied
20. The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client’s care, the nurse should:
a. Maintain strict intake and output
b. Check the pulse before giving the medication
c. Administer the medication 30 minutes before meals
d. Provide oral hygiene and gum care every shift
21. The nurse is teaching a client with Parkinson’s disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:
a. Periodically lie prone without a neck pillow
b. Sleep only in dorsal recumbent position
c. Rest in supine position with his head elevated
d. Sleep on either side but keep his back straight
22. The nurse is planning dietary changes for a client following an episode of pancreatitis. Which diet is suitable for the client?
a. Low calorie, low carb
b. High calorie, low fat
c. High protein, high fat
d. Low protein, high carb
23. The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
a. Constipation
b. Urinary retention
c. Diarrhea
d. Confusion
24. A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:
a. Loss of sensation in the lower extremities
b. Back pain that lessens when standing
c. Decreased urinary output
d. Pulsations in the periumbilical area
25. A female client admitted to an acute care facility after a car accident develops signs and symptoms of increased intracranial pressure (ICP). The client is intubated and placed on mechanical ventilation to help reduce ICP. To prevent a further rise in ICP caused by suctioning, the nurse anticipates administering which drug endotracheal before suctioning?
a. Phenytoin (Dilantin)
b. Mannitol (Osmitrol)
c. Lidocaine (Xylocaine)
d. Furosemide (Lasix)
26. After striking his head on a tree while falling from a ladder, a young man age 18 is admitted to the emergency department. He’s unconscious and his pupils are nonreactive. Which intervention would be the most dangerous for the client?
a. Give him a barbiturate
b. Place him a mechanical ventilation
c. Perform a lumbar puncture
d. Elevate the head of his bed
27. When obtaining the health history from a male client with retinal detachment, the nurse expects the client to report:
a. Light flashed and floaters in front of the eye
b. A recent driving accident while changing lanes
c. Headaches, nausea, and redness of the eyes
d. Frequent episodes of double vision
28. Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis?
a. Imbalanced nutrition: less than body requirements
b. Ineffective airway clearance
c. Impaired urinary elimination
d. Risk for injury
29. To encourage adequate nutritional intake for a female client with Alzheimer’s disease, the nurse should:
a. Stay with the client and encourage him to eat
b. Help the client fill out his menu
c. Give the client privacy during meals
d. Fill out the menu for the client
30. The nurse is performing a mental status examination on a male client diagnosed with subdural hematoma. This test assesses which of the following?
a. Cerebellar function
b. Intellectual function
c. Cerebral function
d. Sensory function
31. Shortly after admission to an acute care facility, a male client with a seizure disorder develop status epilepticus. The physician orders diazepam (Valium) 10 mg I.V. stat. How soon can the nurse administer a second dose of diazepam, if needed and prescribed?
a. In 30 to 45 seconds
b. In 10 to 15 minutes
c. In 30 to 45 minutes
d. In 1 to 2 hours
32. The nurse is caring for a patient with cervical cancer. The nurse notes that the radium implant has become dislodged. Which of the following actions should the nurse take FIRST?
a. Stay with the patient and contact the radiology
b. Wrap the implant in a blanket and place it behind the lead shield
c. Obtain a dosimeter reading on the patient and report it to the physician
d. Pick up the implant with long-handled forceps and place it in a lead container
33. The nurse has reviewed the charts of four antepartum women. Which woman is at greater risk for having a child with a cleft lip and palate?
a. A 22 year old oriental woman who is having a girl
b. A 25 year old native American female who is having a boy
c. A 35 year old African American woman who is having a boy
d. A 40 year old Caucasian who is having a girl
34. A 22-year-old woman in her second trimester of pregnancy tells the clinic nurse that her child has been asking questions “about sex.” The client asks the nurse what she should tell her 5-year-old son. Which of the following statements, if made by the nurse, is BEST?
a. “Answer your son’s questions in a matter-of-fact manner, in words that he will understand.”
b. “Buy a book about sex designed for young children and read it with your son.”
c. “Tell your son that this subject is complicated, and you will discuss it with him as he gets older.”
d. “Have your son touch your abdomen and tell him about your pregnancy.”
35. The nurse is observing a LPN/LVN administer iron dextran (DexFerrum) IM. It is MOST important for the nurse to give which of the following instructions?
a. “Massage the injection site for one minute after the injection of the medicine.”
b. “Tap out the air bubble prior to administering the medication.”
c. “Release the skin prior to withdrawing the needle.”
d. “Change the needle after drawing up the medication.” [Show Less]