ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?
Correct Answer: A
Rationale: Desmopressin, an ADH analog, reduces urine output in diabetes insipidus. Decreased urine volume indicates effectiveness. Pupillary response, temperature, and heart rate are unrelated.
Question 2 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Progesterone relaxes smooth muscle, including the lower esophageal sphincter, causing heartburn. Uterine pressure, estrogen, and bile are less directly related at 12 weeks.
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct Answer: D
Rationale: Variable decelerations, with unpredictable drops in fetal heart rate, indicate umbilical cord compression. Uteroplacental insufficiency causes late decelerations, head compression causes early decelerations, and narcotics are unrelated.
Question 4 of 5
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Emphysema causes barrel chest (lung hyperinflation), clubbing (chronic hypoxia), and dyspnea (reduced gas exchange). Bradycardia and deep respirations are not typical; tachycardia and shallow breathing are more common.
Question 5 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: Ambivalent feelings are normal in early pregnancy due to life changes. This response validates the client's emotions. Counseling, dismissal, or redirecting to family are less supportive.