ATI RN
ATI Capstone Week 11 Exam Questions
Question 1 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: B
Rationale: The correct answer is B: 3 cm above the umbilicus. At 22 weeks of gestation, the fundus should be palpable at approximately the level of the umbilicus or slightly above. As the uterus grows with the developing fetus, the fundal height increases. This location corresponds to the expected fundal height for a pregnancy at 22 weeks.
Choice A (Slightly above the umbilicus) is incorrect as it does not specify the exact measurement.
Choices C (3 cm below the umbilicus) and D (Slightly below the umbilicus) are incorrect because the fundus should be higher at 22 weeks.
Question 2 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys would be best for the nurse to recommend in order to meet the developmental needs of the client?
Correct Answer: D
Rationale: The correct answer is D: Large building blocks. At 12 months, toddlers are in the sensorimotor stage of development, where they explore objects through touch and manipulation. Large building blocks allow the toddler to practice fine motor skills, hand-eye coordination, and spatial awareness. They also promote creativity and problem-solving. Crayons and coloring books (choice
A) are more suitable for older children who have developed better fine motor skills. Modeling clay (choice
B) may pose a choking hazard for a 12-month-old. Hanging crib toys (choice
C) are more appropriate for infants and may not provide enough stimulation for a toddler.
Question 3 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The correct answer is A because it acknowledges the client's feelings as normal and validates her experience. It reassures her that having doubts during early pregnancy is common, helping her feel understood and supported.
Choice B suggests seeking counseling prematurely and may make the client feel her feelings are abnormal.
Choice C dismisses her concerns and minimizes her emotions.
Choice D assumes the client hasn't explored other supportive avenues and may not be relevant to her situation.
Question 4 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?
Correct Answer: D
Rationale: The correct answer is D: 4-2-0-2-2. In the GTPAL system, G stands for Gravida (total number of pregnancies), T stands for Term births (pregnancies reaching 37 weeks or more), P stands for Preterm births (pregnancies ending between 20-37 weeks), A stands for Abortions (elective or spontaneous before 20 weeks), and L stands for Living children. In this case, the client has been pregnant a total of 6 times (G=6), had 4 term births (T=4), 2 preterm births (P=2), no abortions before 20 weeks (A=0), and 2 living children (L=2).
Therefore, the correct answer is D.
Choices A, B, and C do not accurately reflect the client's pregnancy history based on the information provided.
Question 5 of 5
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?
Correct Answer: A
Rationale: The correct answer is A: Airway patency. In the postoperative period following a thyroidectomy, airway patency is the priority to monitor due to the risk of airway obstruction from swelling or bleeding. If the airway is compromised, it can lead to serious complications such as respiratory distress or even respiratory arrest. Monitoring airway patency involves assessing for signs of respiratory distress, such as stridor, difficulty breathing, or changes in oxygen saturation. Temperature, pain control, and urination are important to monitor postoperatively, but ensuring the client's airway is clear and functioning properly takes precedence to prevent life-threatening complications.