Exam (elaborations)

ATI PN CAPSTONE EXIT EXAM |Verified 2019 – 2021 Exams Compilation

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ATI PN CAPSTONE

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ATI PN CAPSTONE

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Uploaded on February 28, 2022
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ati pn capstone exam 2019 – 2021 1 if a male client experienced a cerebrovascular accident cva that damaged the hypothalamus
the nurse anticipate that the client has problems with a body tempe

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ATI PN CAPSTONE EXAM (2019 – 2021)
1. 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
2. A female client admitted to an acute care facility after a car accident develops

signs andsymptoms 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 bysuctioning, the nurse anticipates administering

which drug endotracheal before

suctioning?
a. Phenytoin (Dilantin)
b. Mannitol (Osmitrol)
c. Lidocaine (Xylocaine)
d. Furosemide (Lasix)
3. After striking his head on a tree while falling from a ladder, a young man

age 18 isadmitted 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
4. 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
5. 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
6. 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
7. 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
8. Shortly after admission to an acute care facility, a male client with a seizure

disorderdevelop 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
9. A female complains of periorbital aching, tearing, blurred vision, and

photophobia in her right eye. Ophthalmologic examination reveals a small,

irregular, nonreactive pupil

- a condition resulting from acute iris inflammation (iritis). As part of the

client’s therapeutic regimen, the physician prescribes atropine sulfate

(Atropisol), two drops of0.5% solution in the right eye twice daily. Atropine

Sulfate belongs to which drug

classification?

, a. Para sympathomimetic agent
b. Sympatholytic agent
c. Adrenergic blocker
d. Cholinergic blocker
10. Emergency medical technicians transport a 27-year-old iron worker to the

emergency department. They tell the nurse, “He fell from a two story building.

He has a large contusion on his left chest and a hematoma on the left parietal

area. He has a compoundfracture of his left femur and he’s oximeter with a

manual-resuscitation bag.” Which

intervention by the nurse has the highest priority?
a. Assessing the left leg
b. Assessing the pupils
c. Placing the client in Trendelenburg’s position
d. Assessing level of consciousness
11. An auto mechanic accidentally has battery acid splashed in his eyes. His

coworkers irrigate his eyes with water for 20 minutes, and then take him to

emergency departmentof a nearby hospital, where he received emergency care

for corneal injury. The physician prescribes dexamethasone (Maxidex

Ophthalmic Suspension), two drops of 0.1% solution to be instilled initially

into the conjunctival sacs of both eyes every hour; and polymycin B sulfate

(Neosporin Ophthalmic), 0.5% ointment to be places in the conjunctival sacs of

both eyes every 3 hours. Dexamethasone exerts its therapeutic

effect by:
a. Increasing the exudative reaction of ocular tissue
b. Decreasing leukocyte infiltration at the site of ocular inflammation
c. Inhibiting the action of carbonic anhydrase
d. Producing a miotic reaction by stimulation and contraction the sphincter
muscles

of the iris.
12. Nurse April is caring for a client who under a lumbar laminectomy 2 days ago.
Which

of the following findings should the nurse consider abnormal?

, a. More back pain than the first postoperative day
b. Paresthesia in the dermatomes near the wounds
c. Urine retention or incontinence
d. Temperature of 99.2F (37.3C)
13. After an eye examination, a male client is diagnosed with open-angle

glaucoma. ThePhysician prescribes pilocarpine ophthalmic solution (Pilocar),

0.25% gtt I, OU QID.based on this prescription, the nurse should teach the

client or a family member to

administer the drug by:
a. Instilling one drop of pilocarpine 0.25% into both eyes daily.
b. Instilling one drop of pilocarpine 0.25% into both eyes four times a daily
c. Instilling one drop of pilocarpine 0.25% into the right eye daily
d. Instilling one drop of pilocarpine 0.25% into the left eye four times daily
14. 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 clientaccurately 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
15. 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
16. A client, age 22, is admitted with bacterial meningitis. Which hospital room
would be

the best choice for this client?
a. A private room down the hall from the nurses’ station
b. An isolation room three doors from the nurses’ station

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