ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Correct Answer: B
Rationale: Localized edema is a key sign of acute osteomyelitis, with inflammation causing swelling. Hypothermia, numbness, and bradycardia are not typical; fever and pain are more common.
Question 2 of 5
A nurse is monitoring a client who was admitted with a severe burn injury and is receiving fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Correct Answer: A
Rationale: A decrease in heart rate indicates adequate fluid resuscitation in burn patients, as restored blood volume reduces cardiac strain (normal range: 60-100 bpm). Decreased blood pressure suggests hypovolemia, decreased urine output indicates inadequate kidney perfusion (normal: 0.5-1 mL/kg/hr), and weight changes are less immediate indicators.
Question 3 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: A
Rationale: A neutral attitude builds trust by being non-threatening. Waiting for initiation, disclosing personal information, or frequent approaches may increase suspicion or overwhelm the client.
Question 4 of 5
A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
Correct Answer: B
Rationale: Squinting to see the board suggests a vision problem, like myopia, requiring evaluation to support academic and developmental needs. Bossiness and cheating are typical behaviors needing guidance, and losing front teeth is normal at this age.
Question 5 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
Correct Answer: B
Rationale: Instructing about sequential compression devices (SCDs) prevents deep vein thrombosis and pulmonary embolism by improving leg circulation during immobility, directly addressing postoperative complications. Visitation policies, PCA pump use, and pain scales are important but don’t directly prevent complications like SCDs do.