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 pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July 27 is 0727)
Correct Answer: 504
Rationale:
Rationale:
To calculate the EDB, count back 3 months from the first day of the last menstrual period (LMP) and add 7 days. The LMP is July 27. Counting back 3 months gives us April 27. Adding 7 days to April 27 gives us May 4, written as 0504. This is the estimated date of birth. Other choices are incorrect as they do not follow the standard calculation method for determining the EDB based on the LMP.
Question 2 of 5
A nurse is providing teaching about phenylketonuria (PKU) testing to the parent of a newborn. Which of the following statements by the parent indicates a need for additional teaching?
Correct Answer: A
Rationale: The correct answer is A because PKU testing does not involve placing the baby under special lights. The test is a simple blood test to check for levels of phenylalanine. Placing the baby under special lights is a treatment for jaundice, not for PKU.
Choice B is correct as PKU can be managed with a special diet low in phenylalanine.
Choice C is accurate as sometimes the test is repeated to confirm the results.
Choice D is also correct as the baby needs to be consuming protein (from formula or breast milk) before the test.
Question 3 of 5
A nurse is calculating the output of a client at the end of the shift. The nurse notes the following: client voided 400 mL at 1100 and 350 mL at 1430. The closed chest drainage system was previously marked at 155 mL and is now at 175 mL. The NG tube has 575 mL in drainage container, and 25 mL is emptied out of the Jackson-Pratt drainage tube. How many mL should the nurse record in the medical record as the client's output?
Correct Answer: 1370
Rationale: The correct answer is 1370 mL.
To calculate the client's output, we add the voided urine (400 mL + 350 mL = 750 mL), chest drainage system (175 mL - 155 mL = 20 mL), NG tube drainage (575 mL), and Jackson-Pratt drainage tube (25 mL).
Total output = 750 mL (urine) + 20 mL (chest drainage) + 575 mL (NG tube) + 25 mL (JP tube) = 1370 mL. This total represents all the fluids eliminated by the client during the shift. Other choices are incorrect as they either do not include all the relevant outputs or are calculated incorrectly.
Question 4 of 5
The nurse assessing a client hospitalized with a diagnosis of hypoparathyroidism notes positive Trousseau's and Chvostek's signs. The nurse determines that these findings most indicate which electrolyte imbalance?
Correct Answer: C
Rationale: The correct answer is C: Hypocalcemia. Trousseau's and Chvostek's signs are classic manifestations of hypocalcemia. Trousseau's sign is the carpal spasm induced by inflating a blood pressure cuff above systolic pressure, indicating neuromuscular irritability. Chvostek's sign is facial muscle spasm elicited by tapping the facial nerve, also indicative of neuromuscular irritability due to low calcium levels. Hypernatremia (
A), hypermagnesemia (
B), and hypokalemia (
D) do not typically present with these specific signs related to neuromuscular irritability seen in hypocalcemia.
Question 5 of 5
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?
Correct Answer: A
Rationale: The correct answer is A: Airway patency. In the postoperative period following a thyroidectomy, airway patency is the priority to monitor due to the risk of airway obstruction from swelling or bleeding. If the airway is compromised, it can lead to serious complications such as respiratory distress or even respiratory arrest. Monitoring airway patency involves assessing for signs of respiratory distress, such as stridor, difficulty breathing, or changes in oxygen saturation. Temperature, pain control, and urination are important to monitor postoperatively, but ensuring the client's airway is clear and functioning properly takes precedence to prevent life-threatening complications.