ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
Correct Answer: C
Rationale: The correct answer is C: Two arteries and one vein. This is because the umbilical cord typically contains two arteries (carrying deoxygenated blood from the fetus to the placenta) and one vein (carrying oxygenated blood from the placenta to the fetus). This configuration is essential for fetal circulation and nutrient exchange during pregnancy.
Choice A (One artery and one vein) is incorrect as it does not reflect the typical composition of the umbilical cord.
Choice B (Two veins and one artery) is incorrect because the umbilical cord does not contain two veins; it contains one vein and two arteries.
Choice D (Two arteries and two veins) is incorrect as it describes an atypical structure of the umbilical cord.
In summary, the correct answer, C, is supported by the physiological function of the umbilical cord in fetal circulation, making it the most appropriate choice compared to the other options.
Question 2 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 3 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.
Question 4 of 5
A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Daily jogging for up to 30 minutes is fine throughout the pregnancy. This response is appropriate because moderate-intensity aerobic exercise, like jogging, is generally safe and beneficial during pregnancy, especially in the first trimester. Jogging helps improve cardiovascular fitness and can help manage weight gain. It is important to advise the client to listen to her body, stay hydrated, and avoid overexertion.
Choice A is incorrect because exercising during pregnancy is recommended, as long as it is safe and appropriate for the individual.
Choice B is incorrect as activities that raise body temperature, such as saunas and hot tubs, are not safe during pregnancy as they can lead to overheating.
Choice D is incorrect as pregnant clients are encouraged to engage in a variety of exercises, including aerobic activities, not just limiting to stretching activities.
Question 5 of 5
A nurse is providing teaching about Kegel exercises to a group of clients who are in the third trimester of pregnancy. Which of the following statements by a client indicates understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because Kegel exercises help strengthen the pelvic floor muscles, which are important for supporting the uterus, bladder, and bowel. Strong pelvic muscles can facilitate the birthing process by providing better control during labor and delivery. Additionally, these exercises can help prevent urinary incontinence postpartum. The other options are incorrect as Kegel exercises do not directly impact stretch marks, back aches, or constipation. Stretch marks are related to skin elasticity, back aches may be relieved through proper posture and exercises targeting back muscles, and constipation is more influenced by dietary factors and hydration.