ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive thrombosis and bleeding. In DIC, there is widespread activation of the coagulation cascade leading to the formation of microthrombi in small blood vessels, causing tissue ischemia and organ dysfunction. This results in excessive clot formation (thrombosis) in some areas and simultaneous consumption of clotting factors and platelets, leading to bleeding in other areas. The other choices are incorrect because:
A) In DIC, there is consumption of clotting factors, leading to a decrease rather than an increase.
C) Platelet production may be increased initially to compensate for consumption, but it is not a progressive increase.
D) Sodium and fluid retention are not typical findings in DIC.
Question 2 of 5
A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Speak to the client about one idea at a time. Global aphasia impairs the ability to understand and communicate effectively. By speaking about one idea at a time, the nurse helps the client focus and process information easier. This approach reduces confusion and frustration for the client.
Choice A is incorrect because multitasking can overwhelm someone with global aphasia.
Choice C is incorrect as using multiple forms of communication may be too challenging.
Choice D is incorrect as limiting questions to yes and no may not address the client's needs fully.
Question 3 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale:
Correct Answer: 0.5 tablets
Rationale:
1. Convert 125 mcg to mg: 125 mcg = 0.125 mg
2. Determine how many tablets needed: 0.125 mg ÷ 0.25 mg/tablet = 0.5 tablets
3. Administer 0.5 tablets per dose.
Summary:
A. Incorrect as it does not calculate the appropriate dosage.
B. Incorrect as it does not address the dosage calculation.
C. Incorrect as it does not provide the correct calculation.
D. Incorrect as it does not offer the correct dosage.
E. Incorrect as it lacks the calculation for the dosage.
F. Incorrect as it does not address the specific question.
G. Incorrect as it does not provide the correct dosage calculation.
Question 4 of 5
A nurse assesses a client with a brain injury. The client opens his eyes when the nurse calls his name, does not understand questions, and brings his arm up in response to a trapezius squeeze by the nurse. How would the nurse document this client's assessment using the Glasgow Coma Scale?
Correct Answer: D
Rationale: The correct answer is D: 9. The Glasgow Coma Scale (GCS) assesses eye opening, verbal response, and motor response. In this scenario, the client opens his eyes in response to a stimulus (4 points), has no verbal response (1 point), and exhibits localizing pain motor response by bringing his arm up to the trapezius squeeze (4 points). This totals 9 points on the GCS, indicating a moderate level of consciousness.
Choices A, C, and G are incorrect as they do not accurately reflect the client's assessment findings.
Choice B is incorrect as a score of 1 on the GCS indicates the lowest level of consciousness.
Question 5 of 5
A nurse is caring for a client who reports heart palpitations that come and go. An ECG confirms the client is experiencing episodes of ventricular tachycardia (VT). The client is stable. The nurse should anticipate the need for taking which of the following actions?
Correct Answer: A
Rationale: The correct answer is A: Elective cardioversion. In this scenario, the client is stable, so immediate interventions like CPR or defibrillation are not necessary. Elective cardioversion is the appropriate action for ventricular tachycardia to restore the heart's normal rhythm. Radiofrequency catheter ablation is a treatment option for arrhythmias but is not typically the first-line intervention for stable VT. Defibrillation is used for unstable VT or ventricular fibrillation. In summary, elective cardioversion is the most appropriate intervention for stable VT in this client.