ATI RN
ATI Capstone Exam 1 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: 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 2 of 5
A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
Correct Answer: D
Rationale: A client with a lumbosacral spinal tumor is least likely to have swallowing issues, making meal assistance appropriate for the AP. Guillain-Barré, systemic sclerosis, and ALS can impair swallowing, requiring specialized nurse-led feeding to prevent aspiration.
Question 3 of 5
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: The correct sequence is: Inspect (visual assessment first), ask about pain history (provides context), auscultate (before palpation/percussion to avoid altering bowel sounds), percuss (assesses fluid/air), and palpate (last to avoid discomfort). This order ensures accurate findings.
Question 4 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 5 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In a mass casualty event, a client who remains apneic after airway repositioning is unlikely to survive and should receive a black tag, indicating resources should be allocated to others with better survival chances. Further repositioning, CPR, or a red tag are inappropriate due to limited resources and low survival likelihood.