ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?
Correct Answer: D
Rationale: Fever is a systemic sign of infection at pin sites, requiring prompt attention. Serosanguineous drainage, mild erythema, and warmth are normal or less specific.
Question 2 of 5
The nurse, caring for a client with Buck’s traction, is monitoring the client for complications of the traction. Which assessment finding indicates a complication of this form of traction?
Correct Answer: A
Rationale: Weak pedal pulses indicate vascular compromise, a complication of Buck’s traction. Leg discomfort is expected, warm toes with brisk refill are normal, and pin site drainage relates to skeletal traction.
Question 3 of 5
A nurse is preparing to start an IV infusion of lactated Ringer’s for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr. How many mL/hr should the nurse set the pump to infuse for the first 8 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 325
Rationale: Per the Parkland formula, half of 5,200 mL (2,600 mL) is given in the first 8 hours: 2,600 mL ÷ 8 hr = 325 mL/hr.
Question 4 of 5
A nurse in an emergency department is caring for a client who has burns on the front and back of both arms. Using the rule of nines, the nurse should document burns to which percentage of the client’s total body surface area (TBSA)?
Correct Answer: B
Rationale: Each arm is 9% TBSA per the Rule of Nines, so front and back of both arms total 18%. Other percentages are incorrect for this area.
Question 5 of 5
A nurse is caring for a client. Select the 5 findings that can cause delayed wound healing.
Correct Answer: B,C,E,F,G
Rationale: Low prealbumin, diabetes, wound infection, decreased perfusion, and high fasting glucose delay wound healing. Potassium and hyperlipidemia are not direct factors.