Questions 64

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ATI Capstone Week 11 Exam Questions

Extract:


Question 1 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.

Question 2 of 5

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

Correct Answer: C

Rationale: The maternal serum alpha-fetoprotein (MSAFP) test screens for neural tube defects like spina bifida. It does not assess Rh incompatibility (evaluated via blood typing), fetal well-being markers, or lung maturity (assessed via amniocentesis).

Question 3 of 5

A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?

Correct Answer: A

Rationale: Cystitis (UTI) commonly causes sudden incontinence in older adults due to bladder irritation. Nephrosclerosis, diverticulitis, and uremia are less likely to cause acute incontinence.

Question 4 of 5

A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson's developmental stages should the nurse consider in the planning?

Correct Answer: A

Rationale: A 9-year-old is in the industry vs. inferiority stage, focusing on competence. The care plan should support asthma management to foster accomplishment.

Question 5 of 5

A nurse is caring for a client with Cushing's syndrome. Which assessment findings would the nurse expect? (Select all that apply.)

Correct Answer: A,B,D,E

Rationale: Cushing’s syndrome causes purple striae, moon face, buffalo hump, and poor wound healing due to high cortisol. Bronze pigmentation is specific to Addison’s disease.

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