ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Dehydration is expected in diabetes insipidus due to excessive water loss from dilute urine, caused by inadequate antidiuretic hormone function. This leads to severe thirst and fluid imbalance. Bradycardia, hyperglycemia, and polyphagia are associated with other conditions like diabetes mellitus, not diabetes insipidus.
Question 2 of 5
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Correct Answer: B
Rationale: Aspartate aminotransferase (AST) is the priority, as heavy alcohol and high-dose acetaminophen pose a significant risk of liver damage. Elevated AST indicates liver injury, critical to monitor for hepatotoxicity. Creatinine, amylase, and ADH assess kidney, pancreatic, or fluid balance issues, less relevant here.
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Hyperpigmentation is a hallmark of Addison’s disease, caused by increased ACTH and melanocyte-stimulating hormone due to adrenal insufficiency. Purple striations and hirsutism relate to Cushing’s syndrome or androgen excess, and intention tremors are neurological, not typical of Addison’s.
Question 5 of 5
A nurse is discussing the norming stage of the group development process with a student nurse. Which of the following statements by the student indicates understanding of the discussion?
Correct Answer: B
Rationale: The norming stage involves group cohesion and consensus as members resolve differences and establish shared goals. Testing and resistance occur in the storming stage, and constructive efforts are less specific to norming.