ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has sustained severe burn injuries in a grease fire. Using the Rule of Nines, the nurse should estimate that the client has burned the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.
Correct Answer: 72
Rationale: Burns on the front and back of both legs total 72% TBSA per the Rule of Nines: (18% + 18%) + (18% + 18%) = 72%.
Question 2 of 5
A nurse is assessing a client who is 48 hours postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Yellow-green drainage suggests infection and requires immediate reporting. Normal respiratory rate, blood pressure, and straw-colored urine are expected.
Question 3 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 4 of 5
A nurse is caring for a client who has a full arm cast and reports a pain level of 8 on a scale of 0 to 10, which is unrelieved by pain medication. Which of the following actions should the nurse plan to take first?
Correct Answer: A
Rationale: Checking circulation is the priority to rule out compartment syndrome, indicated by severe, unrelieved pain. Medication, repositioning, and documentation follow.
Question 5 of 5
A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?
Correct Answer: D
Rationale: Fever is a systemic sign of infection at pin sites, requiring prompt attention. Serosanguineous drainage, mild erythema, and warmth are normal or less specific.