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 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Rationale: Answer C is correct because urinary frequency is common in the first trimester due to hormonal changes and later in pregnancy due to the growing uterus pressing on the bladder. This response educates the client about the expected timeline of the symptom, offering reassurance.
Incorrect
Choices:
A: This choice does not provide the client with specific information about the timing of urinary frequency during pregnancy.
B: While it mentions the 12th week, it does not address the occurrence near the end of pregnancy.
D: This response dismisses the client's concern and fails to provide helpful information.
Question 2 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys would be best for the nurse to recommend in order to meet the developmental needs of the client?
Correct Answer: D
Rationale: The correct answer is D: Large building blocks. At 12 months, toddlers are in the sensorimotor stage of development, where they explore objects through touch and manipulation. Large building blocks allow the toddler to practice fine motor skills, hand-eye coordination, and spatial awareness. They also promote creativity and problem-solving. Crayons and coloring books (choice
A) are more suitable for older children who have developed better fine motor skills. Modeling clay (choice
B) may pose a choking hazard for a 12-month-old. Hanging crib toys (choice
C) are more appropriate for infants and may not provide enough stimulation for a toddler.
Question 3 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor for complications in response to this diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Cardiovascular. Kawasaki disease primarily affects the blood vessels, particularly the coronary arteries, leading to potential complications such as coronary artery aneurysms and myocarditis. Monitoring the cardiovascular system is crucial to detect any signs of these serious complications early on.
Choice A: Respiratory is incorrect as Kawasaki disease does not primarily affect the respiratory system.
Choice C: Integumentary is incorrect as this disease does not typically cause significant skin issues.
Choice D: Gastrointestinal is incorrect as gastrointestinal complications are not commonly associated with Kawasaki disease.
In summary, monitoring the cardiovascular system is essential in Kawasaki disease due to its potential impact on coronary arteries, while the other systems are less likely to be affected.
Question 4 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: The correct answer is A because it acknowledges the client's feelings as normal and validates her experience. It reassures her that having doubts during early pregnancy is common, helping her feel understood and supported.
Choice B suggests seeking counseling prematurely and may make the client feel her feelings are abnormal.
Choice C dismisses her concerns and minimizes her emotions.
Choice D assumes the client hasn't explored other supportive avenues and may not be relevant to her situation.
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.