ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Frequent mood changes. In hyperthyroidism, there is an excessive production of thyroid hormones leading to symptoms such as irritability, anxiety, and mood swings. This is due to the increased metabolic activity caused by the excess thyroid hormones. Constipation (
A) is more common in hypothyroidism. Sensitivity to cold (
B) is also seen in hypothyroidism due to decreased metabolic rate. Weight gain of 4.5 kg (10 lbs) in 3 weeks (
C) is unlikely in hyperthyroidism as it usually leads to weight loss.
Therefore, choice D is the most appropriate manifestation for hyperthyroidism.
Question 2 of 5
A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total of 30 mg, the nurse should administer 3 tablets of 10 mg each (10 mg x 3 = 30 mg). Other choices are incorrect because:
A) 1 tablet is not enough to reach 30 mg,
B) 2 tablets only add up to 20 mg,
C) 4 tablets exceed the required dose,
D) 5 tablets exceed the required dose, E) 6 tablets exceed the required dose, F) 7 tablets exceed the required dose, G) 8 tablets exceed the required dose.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider of a weight gain of 0.5 kg (1 lb) in a week. This is crucial in heart failure management as sudden weight gain can indicate fluid retention, worsening heart failure, and the need for medication adjustment. Option A is incorrect as naproxen can worsen heart failure symptoms. Option C is incorrect as diuretics should be taken in the morning to prevent nighttime urination. Option D is incorrect as the frequency and intensity of exercise should be tailored based on the individual's condition.
Question 4 of 5
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale:
Rationale: Hypothyroidism is characterized by decreased thyroid hormone levels, leading to symptoms such as lethargy due to slowed metabolism. Exophthalmos (bulging eyes) is associated with hyperthyroidism. Photophobia (sensitivity to light) is not a common symptom of hypothyroidism. Weight loss is more indicative of hyperthyroidism due to increased metabolism.
Therefore, the correct answer is C: Lethargy, as it aligns with the expected findings in hypothyroidism.
Question 5 of 5
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
Correct Answer: D
Rationale: The correct answer is D: Scatter rugs are present in the kitchen. Scatter rugs can pose a safety risk for an older adult with decreased vision due to glaucoma as they increase the risk of tripping and falling. The uneven surface and lack of secure placement make scatter rugs hazardous. Handrails in the bathroom (
A) enhance safety, electrical cords along the walls (
B) may be a tripping hazard but can be easily addressed, and using a microwave for cooking (
C) is a safe and convenient option for someone with decreased vision.