ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: C
Rationale: The umbilical cord normally has two arteries and one vein. The vein carries oxygenated blood to the fetus, and the arteries return deoxygenated blood to the placenta. Other configurations may indicate anomalies.
Question 3 of 5
A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the new nurse indicates the teaching has been effective?
Correct Answer: C
Rationale: Maintaining a dry dressing prevents infection and protects the myelomeningocele sac. Side-lying, range of motion, and temperature monitoring are secondary.
Question 4 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6
Rationale: Volume = 12 mg / (8 mg/0.4 mL) = 0.6 mL.
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.