ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A client with a diagnosis of valvular heart disease is being considered for mechanical valve replacement. Which circumstance is essential to assess before the surgery is performed?
Correct Answer: A
Rationale: Lifelong anticoagulant therapy compliance is critical for mechanical valve recipients to prevent thrombus formation. Body image, lifestyle, and rehab are secondary.
Question 2 of 5
A nurse is caring for a client. Select the 5 findings that can cause delayed wound healing.
Correct Answer: B,C,E,F,G
Rationale: Low prealbumin, diabetes, wound infection, decreased perfusion, and high fasting glucose delay wound healing. Potassium and hyperlipidemia are not direct factors.
Question 3 of 5
A nurse is caring for an older adult client who had a femoral head fracture 24 hr ago and is in skin traction. The client reports shortness of breath and dyspnea. The nurse should suspect that the client has developed which of the following complications?
Correct Answer: D
Rationale: Fat embolism is a known complication of long bone fractures like the femoral head, causing respiratory distress. Airway obstruction, pneumonia, and pneumothorax are less likely.
Question 4 of 5
A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is expected in extensive burns due to cell destruction releasing potassium. Hypovolemia, not hypervolemia, low hemoglobin later, and metabolic acidosis are more likely.
Question 5 of 5
A nurse is assessing a client who is in skeletal traction. The nurse should correct which of the following findings?
Correct Answer: D
Rationale: Weights resting against the bed interfere with traction effectiveness and should be corrected. Ropes in grooves, secure pins, and equal weights are correct.