ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
Correct Answer:
Rationale:
Question 2 of 5
A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Checking aPTT every 6 hours ensures heparin dosing is therapeutic, preventing clotting or bleeding complications. High-dose boluses are unsafe, vitamin K is for warfarin, and no special tubing is needed for heparin, making these incorrect.
Question 3 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In a mass casualty event, a client who remains apneic after airway repositioning is unlikely to survive and should receive a black tag, indicating resources should be allocated to others with better survival chances. Further repositioning, CPR, or a red tag are inappropriate due to limited resources and low survival likelihood.
Question 4 of 5
A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Administering the abdominal thrust maneuver (Heimlich maneuver) is the first action for a conscious client with a foreign body airway obstruction. This technique uses quick, upward thrusts to expel the object, addressing the immediate threat to the airway. Blind finger sweeps risk worsening the obstruction, turning the client to the side is ineffective, and oral airways are for unconscious patients.
Question 5 of 5
A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: D
Rationale: Pertussis spreads via respiratory droplets, requiring masks and private rooms to prevent transmission. Airborne precautions are for smaller particles, and protective precautions are for immunocompromised patients.