ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?
Correct Answer: D
Rationale: The correct answer is D: 4-2-0-2-2. In the GTPAL system, G stands for Gravida (total number of pregnancies), T stands for Term births (pregnancies reaching 37 weeks or more), P stands for Preterm births (pregnancies ending between 20-37 weeks), A stands for Abortions (elective or spontaneous before 20 weeks), and L stands for Living children. In this case, the client has been pregnant a total of 6 times (G=6), had 4 term births (T=4), 2 preterm births (P=2), no abortions before 20 weeks (A=0), and 2 living children (L=2).
Therefore, the correct answer is D.
Choices A, B, and C do not accurately reflect the client's pregnancy history based on the information provided.
Question 2 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction, and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Place the client in the lateral position. This action helps improve maternal perfusion and oxygenation to the fetus by increasing blood flow to the placenta. Placing the client in the lateral position can alleviate compression on the vena cava, which may be causing the fetal heart rate deceleration. Elevating the client's legs (
B) may not directly address the issue of decreased perfusion. Increasing the rate of maintenance IV infusion (
C) may not be necessary if the vena cava compression is the cause. Administering oxygen using a nonrebreather mask (
D) may be indicated if the fetal heart rate deceleration persists, but placing the client in the lateral position should be the initial intervention.
Question 3 of 5
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. Aging leads to joint degeneration, weakening the musculoskeletal system. The cough reflex diminishes with age, increasing susceptibility to respiratory infections. Bladder capacity decreases due to weakening bladder muscles. A is incorrect as visual acuity typically decreases with age. B is incorrect as systolic blood pressure tends to increase. F and G are not provided in the question.
Question 4 of 5
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings as a therapeutic response to this medication?
Correct Answer: C
Rationale: The correct answer is C: Increase in energy. Liothyronine is a thyroid hormone replacement therapy used to treat hypothyroidism. Thyroid hormones play a key role in regulating metabolism and energy levels in the body.
Therefore, an increase in energy is a therapeutic response to liothyronine as it indicates that the medication is effectively restoring thyroid hormone levels to normal.
Incorrect choices:
A: Increase in weight - Hypothyroidism is often associated with weight gain, so with effective treatment like liothyronine, weight gain should decrease or stabilize.
B: Decrease in body temperature - Hypothyroidism can lead to feeling cold, so with proper treatment, body temperature should normalize.
D: Decreased heart rate - Hypothyroidism can cause a slow heart rate, so with treatment, the heart rate should increase towards normal levels.
Question 5 of 5
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence.
Correct Answer: A,B,C,D,E
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.
Rationale: Erikson's stages follow a sequential order from birth to adolescence. Trust vs. mistrust is the stage from birth to 1 year, Autonomy vs. shame and doubt from 1 to 3 years, Initiative vs. guilt from 3 to 6 years, Industry vs. inferiority from 6 to 12 years, and Identity vs. role confusion from adolescence. These stages represent the key psychosocial challenges individuals face at different life stages. Monitoring the child's development in terms of industry and identity is crucial in understanding their psychosocial growth.