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 scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse’s responsibilities?
Correct Answer: A
Rationale: The surgeon explains the procedure, risks, and benefits; nurses reinforce understanding and verify consent. Other actions are within the nurse’s scope to ensure safety and readiness.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Sudden weight gain signals fluid retention, requiring prompt intervention to manage heart failure. Naproxen can worsen symptoms, bedtime diuretics disrupt sleep, and exercise needs tailoring.
Question 4 of 5
A nurse is giving a change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?
Correct Answer: D
Rationale: Code status provides critical context about the client’s care preferences, essential for decision-making. Other information belongs in assessment or recommendation segments.
Question 5 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action?
Correct Answer: A
Rationale: Checking the drainage for glucose is the initial action, as clear nasal drainage post-transsphenoidal hypophysectomy may indicate a cerebrospinal fluid (CSF) leak, a serious complication. CSF contains glucose, unlike nasal secretions, enabling quick identification. Notifying the provider, documenting, or culturing follow after confirming the leak.