ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 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: D
Rationale:
Correct Answer: D - Hyperpigmentation
Rationale: Addison's disease is characterized by adrenal insufficiency, leading to decreased cortisol production. Hyperpigmentation is a classic sign due to elevated ACTH levels stimulating melanocytes. Intention tremors (
A), purple striations (
B), and hirsutism (
C) are not typical findings in Addison's disease. Hyperpigmentation is the most indicative of adrenal insufficiency in this scenario.
Question 2 of 5
A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because avoiding contact with individuals who have received a live vaccine is crucial for a client with immunodeficiency to prevent exposure to potentially harmful pathogens. This is important as live vaccines contain weakened forms of the virus that can still cause infections in immunocompromised individuals.
Choice A is incorrect as white patches in the mouth could indicate a fungal infection, which may not be harmless in an immunodeficient individual.
Choice B is incorrect as a fever, even mild, could be a sign of infection that may be more severe in an immunodeficient client.
Choice D is irrelevant to immunodeficiency and does not impact the client's condition.
Question 3 of 5
A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Check that the client lifts the walker and then places it down in front of her.
Rationale: This action is correct because it ensures the client is using the walker properly to provide support and stability while walking. Lifting the walker before moving it forward helps prevent tripping over obstacles and ensures proper weight distribution. Placing it down in front of her also helps maintain balance and control during ambulation.
Summary of other choices:
A: Walking in front of the client may cause confusion and hinder the client's ability to maneuver the walker independently.
B: Ensuring the upper bar of the walker is level with the client's waist is important, but it is not the most critical action for the client's safety and proper use of the walker.
C: Having the client move one leg forward with the walker is a common ambulation technique but does not specifically address the proper use of the walker.
Question 4 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. This is the priority finding because it can indicate a serious issue with swallowing, leading to aspiration and malnutrition. The nurse should address dysphagia promptly to prevent complications. Urinary hesitancy (
A) may indicate prostate issues but is not as urgent. Swollen gums (
B) may suggest dental problems but are not immediately life-threatening. Pruritus (
D) can be uncomfortable but does not pose an immediate risk.
Question 5 of 5
A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (G85). Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale: The nurse should ask about recent influenza infection (
Choice
A) because Guillain-Barré syndrome is often preceded by a viral illness, such as influenza. This information is crucial for diagnosis and treatment. Travel history (
Choice
B) is less relevant as the cause is more likely viral. Chronic alcohol abuse (
Choice
C) and multivitamin use (
Choice
D) are not directly related to Guillain-Barré syndrome.