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 38 weeks of gestation and undergoing a contraction stress test. The test results are negative. Which of the following interpretations of this finding should the nurse make?
Correct Answer: A
Rationale: The correct interpretation is A: There is no evidence of uteroplacental insufficiency. A negative contraction stress test indicates that the placenta is providing adequate oxygen to the fetus during contractions, ruling out uteroplacental insufficiency.
Choice B is incorrect as the number of contractions is not the primary indicator of the test result.
Choice C is incorrect as accelerations in fetal heart rate are not the focus of a contraction stress test.
Choice D is incorrect as cervical incompetence is not assessed through a contraction stress test.
Question 2 of 5
A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?
Correct Answer: B
Rationale:
Rationale: The correct answer is B (Pre-adolescent/adolescent). Scoliosis screening is typically done during adolescence when rapid growth occurs, making it easier to detect and treat early. Screening during toddler/preschooler stage (
C) may miss early signs. Infants (
D) are not typically screened for scoliosis. Older adults (
A) are less likely to develop scoliosis.
Question 3 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: B
Rationale: The correct answer is B: Ask the client to turn onto her side. This is the correct intervention because the client's low blood pressure reading of 82/52 mm Hg indicates hypotension, which can be caused by aortocaval compression in the supine position. Turning the client onto her side will help alleviate this compression, improve blood flow, and prevent further complications.
Choice A (Prepare for a cesarean birth) is incorrect because there is no indication for a cesarean birth solely based on the blood pressure reading.
Choice C (Assist the client to an upright position) is incorrect as it may worsen hypotension due to gravitational pooling of blood.
Choice D (Prepare for an immediate vaginal delivery) is incorrect as the client is at 6 cm dilation, not fully dilated, and immediate delivery is not warranted based on the blood pressure reading.
Question 4 of 5
A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?
Correct Answer: A
Rationale: The correct answer is A: Urine output. Desmopressin is a synthetic form of vasopressin used to manage diabetes insipidus. Monitoring urine output is crucial as desmopressin helps to reduce excessive urination by increasing water reabsorption in the kidneys.
Therefore, a decrease in urine output indicates the effectiveness of the medication. Pupillary response (
B), temperature (
C), and apical heart rate (
D) are not directly related to the mechanism of action of desmopressin and would not provide accurate assessment of its effectiveness.
Question 5 of 5
A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
Correct Answer: A
Rationale: The correct answer is A: Bradycardia. Straining while defecating can lead to increased vagal nerve stimulation, causing a reflex response of the heart rate decreasing, known as bradycardia. This response is common in older adults due to decreased physiological reserve. Bradycardia is a potential risk, especially for those with cardiac conditions.
Incorrect choices:
B: Gastric ulcer - Straining during defecation does not directly cause gastric ulcers.
C: Diarrhea - Straining is not associated with causing diarrhea.
D: Dilated pupils - Straining during defecation does not lead to dilated pupils.