ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?
Correct Answer: B
Rationale: The correct answer is B: Thyroid-stimulating hormone (TSH). In primary hypothyroidism, there is decreased production of thyroid hormones (T3 and T4), leading to a negative feedback loop that causes an increase in TSH secretion from the pituitary gland to stimulate the thyroid gland.
Therefore, elevated TSH levels are expected in primary hypothyroidism. Free T4 (choice
A) and Serum T4 (choice
D) are not elevated in primary hypothyroidism; instead, they are typically low. Serum T3 (choice
C) may be normal or decreased in primary hypothyroidism.
Question 2 of 5
A nurse is observing a client’s nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?
Correct Answer: C
Rationale: Sociocultural background shapes nonverbal cues (e.g., eye contact, gestures). Nonverbal communication often conveys more truth, is largely subconscious, and reflects feelings accurately.
Question 3 of 5
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Perform a neurovascular assessment. This is the priority action because it ensures circulation and nerve function are intact, preventing complications like compartment syndrome. Explanation of discharge instructions (
A) is important but not the priority. Providing reassurance (
C) is supportive but not urgent. Applying an ice pack (
D) can cause skin damage due to decreased sensation.
Question 4 of 5
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction?
Correct Answer: C
Rationale: The correct answer is C: Urticaria. Urticaria, also known as hives, is a common manifestation of an allergic reaction. It presents as raised, itchy welts on the skin. This is a classic symptom of an allergic response to medication like oxacillin. Dark urine (
A) is more indicative of liver issues, diarrhea (
B) can be a side effect of many medications, and fever (
D) can be a sign of infection rather than an allergic reaction.
Question 5 of 5
At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: The correct answer is D: Inserting a nasogastric tube for a client. LPNs have the training and scope of practice to perform this task safely and effectively. They can insert nasogastric tubes under the supervision of an RN.
A: Measuring a client's I&O - This task involves critical thinking and assessment skills usually performed by RNs.
B: Obtaining a client's weight - This task is within the scope of APs or nursing assistants.
C: Providing postmortem care for a client - This is typically performed by RNs due to the sensitive nature of the task.