ATI RN
ATI Capstone Adult Medical Surgical Assessment 1 Questions
Question 1 of 5
A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: A distended, board-like abdomen should be reported to the provider immediately because it indicates peritonitis, a serious complication of appendicitis resulting from a ruptured appendix. Option B, an elevated WBC count, may indicate infection but is not as urgent as a board-like abdomen. Option C, rebound tenderness over McBurney's point, is a classic sign of appendicitis but does not indicate immediate life-threatening complications. Option D, a slightly elevated temperature, is not as concerning as a distended, board-like abdomen.
Question 2 of 5
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: 'Consume high-calorie foods.' Clients with COPD often have increased energy needs due to the work of breathing. Consuming high-calorie, high-protein foods can help provide the necessary energy and prevent weight loss.
Choice A is incorrect because eating three large meals daily may lead to increased shortness of breath due to a full stomach putting pressure on the diaphragm.
Choice C is incorrect because caffeinated drinks can contribute to dehydration, which is not ideal for clients with COPD.
Choice D is incorrect because drinking fluids during mealtime can cause bloating and early satiety, making it difficult for clients to consume enough calories.
Question 3 of 5
A nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D because clients with Alzheimer's disease are at risk of wandering and becoming lost. Providing supervision helps prevent them from getting injured or lost.
Choice A is incorrect because extensive details may overwhelm clients with Alzheimer's.
Choice B is incorrect because limiting activities can lead to boredom and behavioral issues.
Choice C is incorrect because speaking calmly and at a moderate volume helps to reduce agitation and confusion in clients with Alzheimer's.
Question 4 of 5
A nurse is teaching a client who has type 1 DM about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The client can correct any development of hypoglycemia with a quick intake of glucose. The client should have 15 g carbohydrates on hand to treat hypoglycemic episodes, like 4 oz of regular soda.
Question 5 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Keeping the client's neck in a midline position is crucial for managing increased intracranial pressure. This position helps optimize blood flow and minimizes the risk of further increasing ICP. Placing several pillows behind the client's head (
Choice
A) may inadvertently elevate the head, potentially worsening ICP. Placing the client in a Sim's position (
Choice
B) or maintaining flexion of the client's hips at a 90° angle (
Choice
D) are not directly related to managing increased ICP.