1N|NPN aN gN e
ATI CAPSTONE COMPREHENSIVE TEST A| MOST R
N N N N N N
ECENT AND VERIFIED EDITION ALL QUESTIONS
N N N N N N
AND CORRECT ANSWERS WELL EXPLAINED GRA
N N N N N
DED A+| BRAND NEW!!!N N N
A nurse is performing a tracheostomy care for a client who is post op following a
N N N N N N N N N N N N N N N N
laryngectomy. Which of the following actions should the nurse take when suction
N N N N N N N N N N N
ing the airway?
N N
A. Withdraw the catheter if the client begins coughing.
N N N N N N N
B. Apply suction for 10 seconds.
N N N N
C. Advance the catheter 2 cm (0.8 in) after resistance is met.
N N N N N N N N N N
D. Use medical asepsis when performing the procedure. -
N N N N N N N
ANSWER: B. Apply suction for 10 seconds.
N N N N N N N
- apply suction for only 5 to 10 seconds to minimize oxygen loss.
N N N N N N N N N N N
- Suctioning can initiate the cough reflex as it opens the airway further and allows
N N N N N N N N N N N N N
Nfor more effective removal of mucus.
N N N N N
- use surgical asepsis when suctioning a newly created tracheostomy.
N N N N N N N N
- Once resistance is met, the nurse should withdraw the catheter 1 to 2 cm (0.4 in to
N N N N N N N N N N N N N N N N
N0.8 in) to prevent damaging bronchial tissue
N N N N N N
A nurse is caring for a client who has a terminal illness and requests no lifesaving
N N N N N N N N N N N N N N N N
measures if he experiences cardiac arrest. Which of the following statements shou
N N N N N N N N N N N
ld the nurse make?
N N N
A. "You will need to draft a health care proxy so a designee can make this decision
N N N N N N N N N N N N N N N
for you."
N N
,2N|NPN aN gN e
B. "I will provide you with information about medical treatment to include in your
N N N N N N N N N N N N
living will."
N N
C. "Your provider determines if you should have lifesaving measures if your heart
N N N N N N N N N N N
stops."
N
D. "I will make sure that no one performs any lifesaving measures if your heart
N N N N N N N N N N N N N
Nstops." - N
NANSWER: B. "I will provide you with information about medical treatment t
N N N N N N N N N N N
o include in your living will."
N N N N N
- A health care proxy is not necessary if the client is alert and able to document his
N N N N N N N N N N N N N N N N
Nown wishes in a living will.
N N N N N
- the client decides and documents these decisions in a living will or verbally
N N N N N N N N N N N N
Ninforms the provider. N N
A nurse is providing discharge instructions to a client who has a new prescription
N N N N N N N N N N N N N N
for amitriptyline to treat depression. The nurse should identify that which of the f
N N N N N N N N N N N N N
ollowing statements indicate understanding.
N N N
A. "I should avoid eating smoked meat, cheeses, and ripe avocados while taking
N N N N N N N N N N N
this type of medication."
N N N N
B. "I should watch for common reactions like dry mouth and constipation."
N N N N N N N N N N
C. "I will avoid getting chilled because I am at risk for hypothermia."
N N N N N N N N N N N
D. "I will take my daily dose of this medication every morning before breakfast." -
N N N N N N N N N N N N N
NANSWER: B. "I should watch for common reactions like dry mouth and constip
N N N N N N N N N N N N
ation."
- reinforce that increasing dietary fiber, fluid intake, and chewing sugar free gum
N N N N N N N N N N N
Ncan alleviate the anticholinergic effects of dry mouth and constipation.
N N N N N N N N N
- an MAOI should avoid foods that contain tyramine.
N N N N N N N
- avoid overheating because of the lack of an ability to sweat while taking this
N N N N N N N N N N N N N
Nmedication.
,3N|NPN aN gN e
- take a daily dose of amitriptyline, a tricyclic antidepressant, at bedtime to
N N N N N N N N N N N
Npromote sleep and minimize drowsiness during the day.
N N N N N N N
A nurse is education a client about the goals of hospice care. Which of the followi
N N N N N N N N N N N N N N N
ng statements should the nurse identity as an indication that the client understands
N N N N N N N N N N N N
Nthe teaching?
N
A. "I will be eligible to receive experimental therapy in hopes of overcoming my
N N N N N N N N N N N N
disease."
N
B. "Care will include approved medications that might cure my disease."
N N N N N N N N N
C. "If the suffering gets too bad, I will be able to take medication to help me end
N N N N N N N N N N N N N N N N
my life."
N N
D. "I will receive treatment to control my symptoms and keep me comfortable." -
N N N N N N N N N N N N
NANSWER: D. "I will receive treatment to control my symptoms and keep me c
N N N N N N N N N N N N N
omfortable."
The parents of a preschool age child tell the nurse that their child is demonstrating
N N N N N N N N N N N N N N
Nreluctance in going to bed at night and reports that he is not tired. What should n
N N N N N N N N N N N N N N N N
urse recognize that the teaching has been effective when?
N N N N N N N N
A. "We will let him watch his favorite video before bed."
N N N N N N N N N
B. "We should read him a story every night before bedtime."
N N N N N N N N N
C. "We can let him fall asleep in our room, and then move him to his bed."
N N N N N N N N N N N N N N N
D. "We should change his bedtime to be an hour later." -
N N N N N N N N N N
ANSWER: B. "We should read him a story every night before bedtime."
N N N N N N N N N N N N
- a child who is preschool age, is approximately 12 hr each night. A lack of sleep
N N N N N N N N N N N N N N N
Ncan lead to problems such as altered behavior, hyperactivity, and poor impulse
N N N N N N N N N N N N
control.
, 4N|NPN aN gN e
A nurse is teaching a female client about preventing recurrent bladder infections.
N N N N N N N N N N N N
which statements should nurse make?
N N N N
A. "Empty your bladder before and after sexual intercourse."
N N N N N N N
B. "Limit your fluid intake to 1 liter per day."
N N N N N N N N
C. "Use a feminine hygiene spray after each urination."
N N N N N N N
D. "Take a bubble bath to clean your perineum." -
N N N N N N N N
ANSWER: A. "Empty your bladder before and after sexual intercourse."
N N N N N N N N N N
- to reduce the risk of introducing bacteria into the urinary tract.
N N N N N N N N N N
- drink as much as 2 to 3 L of fluid per day to reduce the risk of urinary tract
N N N N N N N N N N N N N N N N N N
Ninfections.
- avoid using feminine hygiene spray, which can cause irritation to the perineum.
N N N N N N N N N N N
- avoid taking bubble baths, which can cause irritation to the perineum.
N N N N N N N N N N
A nurse is teaching a client who has a new prescription for estradiol. For which of
N N N N N N N N N N N N N N N N
the following adverse effects should nurse instruct to client?
N N N N N N N N
A. Hypotension
B. Headaches
C. Bruising
D. Oliguria - ANSWER: B. Headaches N N N N
- can cause a thromboembolism which can result in a stroke.
N N N N N N N N N
- report hypertension.
N
ATI CAPSTONE COMPREHENSIVE TEST A| MOST R
N N N N N N
ECENT AND VERIFIED EDITION ALL QUESTIONS
N N N N N N
AND CORRECT ANSWERS WELL EXPLAINED GRA
N N N N N
DED A+| BRAND NEW!!!N N N
A nurse is performing a tracheostomy care for a client who is post op following a
N N N N N N N N N N N N N N N N
laryngectomy. Which of the following actions should the nurse take when suction
N N N N N N N N N N N
ing the airway?
N N
A. Withdraw the catheter if the client begins coughing.
N N N N N N N
B. Apply suction for 10 seconds.
N N N N
C. Advance the catheter 2 cm (0.8 in) after resistance is met.
N N N N N N N N N N
D. Use medical asepsis when performing the procedure. -
N N N N N N N
ANSWER: B. Apply suction for 10 seconds.
N N N N N N N
- apply suction for only 5 to 10 seconds to minimize oxygen loss.
N N N N N N N N N N N
- Suctioning can initiate the cough reflex as it opens the airway further and allows
N N N N N N N N N N N N N
Nfor more effective removal of mucus.
N N N N N
- use surgical asepsis when suctioning a newly created tracheostomy.
N N N N N N N N
- Once resistance is met, the nurse should withdraw the catheter 1 to 2 cm (0.4 in to
N N N N N N N N N N N N N N N N
N0.8 in) to prevent damaging bronchial tissue
N N N N N N
A nurse is caring for a client who has a terminal illness and requests no lifesaving
N N N N N N N N N N N N N N N N
measures if he experiences cardiac arrest. Which of the following statements shou
N N N N N N N N N N N
ld the nurse make?
N N N
A. "You will need to draft a health care proxy so a designee can make this decision
N N N N N N N N N N N N N N N
for you."
N N
,2N|NPN aN gN e
B. "I will provide you with information about medical treatment to include in your
N N N N N N N N N N N N
living will."
N N
C. "Your provider determines if you should have lifesaving measures if your heart
N N N N N N N N N N N
stops."
N
D. "I will make sure that no one performs any lifesaving measures if your heart
N N N N N N N N N N N N N
Nstops." - N
NANSWER: B. "I will provide you with information about medical treatment t
N N N N N N N N N N N
o include in your living will."
N N N N N
- A health care proxy is not necessary if the client is alert and able to document his
N N N N N N N N N N N N N N N N
Nown wishes in a living will.
N N N N N
- the client decides and documents these decisions in a living will or verbally
N N N N N N N N N N N N
Ninforms the provider. N N
A nurse is providing discharge instructions to a client who has a new prescription
N N N N N N N N N N N N N N
for amitriptyline to treat depression. The nurse should identify that which of the f
N N N N N N N N N N N N N
ollowing statements indicate understanding.
N N N
A. "I should avoid eating smoked meat, cheeses, and ripe avocados while taking
N N N N N N N N N N N
this type of medication."
N N N N
B. "I should watch for common reactions like dry mouth and constipation."
N N N N N N N N N N
C. "I will avoid getting chilled because I am at risk for hypothermia."
N N N N N N N N N N N
D. "I will take my daily dose of this medication every morning before breakfast." -
N N N N N N N N N N N N N
NANSWER: B. "I should watch for common reactions like dry mouth and constip
N N N N N N N N N N N N
ation."
- reinforce that increasing dietary fiber, fluid intake, and chewing sugar free gum
N N N N N N N N N N N
Ncan alleviate the anticholinergic effects of dry mouth and constipation.
N N N N N N N N N
- an MAOI should avoid foods that contain tyramine.
N N N N N N N
- avoid overheating because of the lack of an ability to sweat while taking this
N N N N N N N N N N N N N
Nmedication.
,3N|NPN aN gN e
- take a daily dose of amitriptyline, a tricyclic antidepressant, at bedtime to
N N N N N N N N N N N
Npromote sleep and minimize drowsiness during the day.
N N N N N N N
A nurse is education a client about the goals of hospice care. Which of the followi
N N N N N N N N N N N N N N N
ng statements should the nurse identity as an indication that the client understands
N N N N N N N N N N N N
Nthe teaching?
N
A. "I will be eligible to receive experimental therapy in hopes of overcoming my
N N N N N N N N N N N N
disease."
N
B. "Care will include approved medications that might cure my disease."
N N N N N N N N N
C. "If the suffering gets too bad, I will be able to take medication to help me end
N N N N N N N N N N N N N N N N
my life."
N N
D. "I will receive treatment to control my symptoms and keep me comfortable." -
N N N N N N N N N N N N
NANSWER: D. "I will receive treatment to control my symptoms and keep me c
N N N N N N N N N N N N N
omfortable."
The parents of a preschool age child tell the nurse that their child is demonstrating
N N N N N N N N N N N N N N
Nreluctance in going to bed at night and reports that he is not tired. What should n
N N N N N N N N N N N N N N N N
urse recognize that the teaching has been effective when?
N N N N N N N N
A. "We will let him watch his favorite video before bed."
N N N N N N N N N
B. "We should read him a story every night before bedtime."
N N N N N N N N N
C. "We can let him fall asleep in our room, and then move him to his bed."
N N N N N N N N N N N N N N N
D. "We should change his bedtime to be an hour later." -
N N N N N N N N N N
ANSWER: B. "We should read him a story every night before bedtime."
N N N N N N N N N N N N
- a child who is preschool age, is approximately 12 hr each night. A lack of sleep
N N N N N N N N N N N N N N N
Ncan lead to problems such as altered behavior, hyperactivity, and poor impulse
N N N N N N N N N N N N
control.
, 4N|NPN aN gN e
A nurse is teaching a female client about preventing recurrent bladder infections.
N N N N N N N N N N N N
which statements should nurse make?
N N N N
A. "Empty your bladder before and after sexual intercourse."
N N N N N N N
B. "Limit your fluid intake to 1 liter per day."
N N N N N N N N
C. "Use a feminine hygiene spray after each urination."
N N N N N N N
D. "Take a bubble bath to clean your perineum." -
N N N N N N N N
ANSWER: A. "Empty your bladder before and after sexual intercourse."
N N N N N N N N N N
- to reduce the risk of introducing bacteria into the urinary tract.
N N N N N N N N N N
- drink as much as 2 to 3 L of fluid per day to reduce the risk of urinary tract
N N N N N N N N N N N N N N N N N N
Ninfections.
- avoid using feminine hygiene spray, which can cause irritation to the perineum.
N N N N N N N N N N N
- avoid taking bubble baths, which can cause irritation to the perineum.
N N N N N N N N N N
A nurse is teaching a client who has a new prescription for estradiol. For which of
N N N N N N N N N N N N N N N N
the following adverse effects should nurse instruct to client?
N N N N N N N N
A. Hypotension
B. Headaches
C. Bruising
D. Oliguria - ANSWER: B. Headaches N N N N
- can cause a thromboembolism which can result in a stroke.
N N N N N N N N N
- report hypertension.
N
