ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings as a therapeutic response to this medication?
Correct Answer: C
Rationale: The correct answer is C: Increase in energy. Liothyronine is a thyroid hormone replacement therapy used to treat hypothyroidism. Thyroid hormones play a key role in regulating metabolism and energy levels in the body.
Therefore, an increase in energy is a therapeutic response to liothyronine as it indicates that the medication is effectively restoring thyroid hormone levels to normal.
Incorrect choices:
A: Increase in weight - Hypothyroidism is often associated with weight gain, so with effective treatment like liothyronine, weight gain should decrease or stabilize.
B: Decrease in body temperature - Hypothyroidism can lead to feeling cold, so with proper treatment, body temperature should normalize.
D: Decreased heart rate - Hypothyroidism can cause a slow heart rate, so with treatment, the heart rate should increase towards normal levels.
Question 2 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?
Correct Answer: D
Rationale: The correct answer is D: 4-2-0-2-2. In the GTPAL system, G stands for Gravida (total number of pregnancies), T stands for Term births (pregnancies reaching 37 weeks or more), P stands for Preterm births (pregnancies ending between 20-37 weeks), A stands for Abortions (elective or spontaneous before 20 weeks), and L stands for Living children. In this case, the client has been pregnant a total of 6 times (G=6), had 4 term births (T=4), 2 preterm births (P=2), no abortions before 20 weeks (A=0), and 2 living children (L=2).
Therefore, the correct answer is D.
Choices A, B, and C do not accurately reflect the client's pregnancy history based on the information provided.
Question 3 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor colp or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: The correct answer is C: Changes in the cervix. In true labor, the cervix undergoes changes such as effacement (thinning) and dilation (opening). These cervical changes are indicative of the onset of labor and progression towards childbirth. By assessing the cervix, the nurse can determine if the client is indeed in true labor.
Rupture of the membranes (choice
A) may or may not occur in labor, and it alone does not confirm true labor. The pattern of contractions (choice
B) is important but not sufficient to differentiate true labor from false labor. The station of the presenting part (choice
D) refers to the position of the baby's head in relation to the pelvis and is not a definitive sign of true labor.
Question 4 of 5
A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?
Correct Answer: A
Rationale:
Rationale:
Choice A, facial edema, is a warning sign of potential danger in early pregnancy as it could indicate preeclampsia, a serious condition. Preeclampsia can lead to high blood pressure and affect the placenta's function.
Choices B, C, and D are common discomforts in the first trimester and do not necessarily indicate danger. Nausea and vomiting are common in early pregnancy, leukorrhea is normal vaginal discharge, and urinary frequency is a common symptom due to hormonal changes. It is important for the nurse to educate the client on recognizing warning signs like facial edema to ensure early intervention if necessary.
Question 5 of 5
A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?
Correct Answer: B
Rationale: The correct answer is B: Follows objects with eyes. At 2 months, infants should be able to track and follow objects with their eyes, showing visual tracking skills. This is a crucial developmental milestone indicating healthy visual development. Grasping objects typically develops around 3-4 months, laughing and squealing around 4-6 months, and rolling from back to side around 4-5 months.
Therefore, choices A, C, and D are incorrect as they represent skills that typically develop later in infancy.