ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has burns on the front and back of both arms. Using the rule of nines, the nurse should document burns to which percentage of the client’s total body surface area (TBSA)?
Correct Answer: B
Rationale: Each arm is 9% TBSA per the Rule of Nines, so front and back of both arms total 18%. Other percentages are incorrect for this area.
Question 2 of 5
Select the 5 findings that can cause delayed wound healing.
Correct Answer: A,B,C,D,E
Rationale: Diabetes, hyperlipidemia, wound infection, decreased perfusion, and high fasting glucose delay wound healing by impairing circulation, immune response, or tissue repair.
Question 3 of 5
A nurse is preparing to start an IV infusion of lactated Ringer’s for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr. How many mL/hr should the nurse set the pump to infuse for the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 325
Rationale: Per the Parkland formula, half of 5,200 mL (2,600 mL) is given in the first 8 hours: 2,600 mL ÷ 8 hr = 325 mL/hr.
Question 4 of 5
A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which of the following findings should the nurse plan to monitor for and report to the provider immediately?
Correct Answer: D
Rationale: Slurred speech is critical to report immediately as it may indicate a stroke or TIA from an embolus in atrial fibrillation. Irregular pulse, fatigue, and edema are common but less urgent.
Question 5 of 5
The nurse is caring for a client prescribed digoxin to help manage heart failure. Which manifestations correlate with a digoxin level of 2.3 ng/dL? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Nausea, halos around bright objects, and photophobia are signs of digoxin toxicity at 2.3 ng/dL. Increased appetite and energy are not associated.