ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A client seeks medical attention for intermittent signs and symptoms that suggest a diagnosis of Raynaud’s disease. The nurse should assess the trigger of these signs/symptoms by asking which?
Correct Answer: A
Rationale: The correct answer is A: Does drinking coffee or ingesting chocolate seem related to the episodes? This question is relevant because caffeine and chocolate are known triggers for Raynaud's disease due to their vasoconstrictive properties. By asking about these specific triggers, the nurse can gather important information to help identify potential causes of the client's symptoms.
Choice B is incorrect because exposure to heat typically alleviates symptoms of Raynaud's disease rather than causing them.
Choice C is irrelevant as Raynaud's symptoms typically occur when the individual is exposed to cold or experiencing stress, not while asleep.
Choice D is also incorrect as injuries limiting activity levels are not directly related to Raynaud's disease triggers.
Question 2 of 5
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: The correct answer is A: Silvery, white scales. Psoriasis is characterized by the presence of silvery, white scales on the skin due to rapid skin cell turnover. This finding is classic for psoriasis. Intense pain (
B) is not a typical symptom of psoriasis; it is more commonly associated with conditions like shingles. Unilateral lesions (
C) would not be expected in psoriasis, as it often affects both sides of the body symmetrically. Serous drainage (
D) is not a typical feature of psoriasis, which primarily presents with dry, scaly patches.
Question 3 of 5
A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: B,C
Rationale: The correct answers are B: Hypotension and C: Poor skin turgor. In a client with frequent vomiting and diarrhea, fluid loss leads to dehydration, causing hypotension and poor skin turgor. Hypotension results from decreased circulating blood volume due to fluid loss. Poor skin turgor occurs due to decreased skin elasticity from dehydration.
Choices A, D, and E are incorrect. Fat neck veins are not typical findings in dehydration. Bradycardia is not expected in dehydration; tachycardia is more common due to compensatory mechanisms to maintain cardiac output. Pale yellow urine is indicative of concentrated urine, not a typical finding in dehydration.
Question 4 of 5
The nurse is caring for a client prescribed digoxin to help manage heart failure. Which manifestations correlate with a digoxin level of 2.3 ng/dL? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct manifestations correlating with a digoxin level of 2.3 ng/dL are Nausea, Seeing halos around bright objects, and Photophobia. Nausea is a common side effect of digoxin toxicity. Seeing halos around bright objects is a sign of visual disturbances associated with digoxin toxicity. Photophobia is sensitivity to light, which can occur with digoxin toxicity. Increased appetite and energy levels are not typically associated with digoxin toxicity and are therefore incorrect choices.
Question 5 of 5
A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?
Correct Answer: B
Rationale: The correct answer is B: Chew on sugarless gum or suck on hard candies. Diphenhydramine commonly causes dry mouth as a side effect due to its anticholinergic properties. Chewing on sugarless gum or sucking on hard candies stimulates saliva production, helping to alleviate dry mouth. Administering the medication with food (choice
A) is not directly related to treating dry mouth. Placing a humidifier at the bedside (choice
C) may help with dry throat but not specifically dry mouth caused by diphenhydramine. Discontinuing the medication (choice
D) without consulting the provider is not recommended as it may lead to worsening symptoms or potential withdrawal effects.