ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse in an urgent care clinic is studying the developmental stages of various clients. In which of the following clients should the nurse expect to see manifestations of autism?
Correct Answer: B
Rationale: The correct answer is B:
Toddler. Autism typically manifests in early childhood, around ages 2-3. This is when social, communication, and behavioral issues become more apparent. Neonates are too young for autism symptoms to be noticeable. Middle-aged and geriatric clients are unlikely to develop autism as it is a neurodevelopmental disorder. By the toddler stage, signs like lack of eye contact, delayed speech, repetitive behaviors, and difficulty with social interactions may become evident.
Question 2 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 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
A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C?
Correct Answer: B,C,D,E
Rationale: The correct answers for food sources of vitamin C are B (Strawberries), C (Orange), D (
Tomatoes), and E (Green pepper). Vitamin C is found in fruits and vegetables, not milk. Strawberries, oranges, tomatoes, and green peppers are all high in vitamin C. Strawberries and oranges are well-known for their vitamin C content.
Tomatoes are rich in vitamin C as well, particularly when eaten raw. Green peppers are also a good source of vitamin C, providing a colorful addition to the diet. These foods are recommended sources of vitamin C due to their high nutrient content, making them essential for overall health and immunity.
Question 5 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: C
Rationale: The correct answer is C: Right lower. When palpating the round, firm, moveable part in the fundus and a long, smooth surface on the right side, it indicates the baby's back is on the right side. Fetal heart tones are best auscultated on the side where the baby's back is closest to the mother's anterior abdominal wall, which is the right side in this case. Auscultating on the right lower quadrant allows the nurse to listen to the fetal heart tones most effectively. Auscultating in other quadrants would not provide the most accurate location for fetal heart tones due to the positioning of the baby in the uterus.