ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?
Correct Answer: B
Rationale: The correct answer is B: Irregular borders. Irregular borders are a classic sign of malignancy in nevi, suggesting potential melanoma. This finding indicates that the nevus may be evolving into a cancerous lesion. It is crucial for the nurse to report this to the provider promptly for further evaluation. Intense pruritus (choice
A) is common in benign nevi and not specific to malignancy. Uniform pigmentation (choice
C) is typically seen in benign nevi and is not a concerning feature. Purulent drainage (choice
D) is more indicative of infection or inflammation rather than malignancy. In summary, irregular borders are a red flag for malignancy, while the other choices are more likely associated with benign nevi or other conditions.
Question 2 of 5
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale:
Correct Answer: 0.5 mL
Rationale:
To administer 1 mg of vitamin K, the nurse should administer 0.5 mL, as the medication is available in 1 mg/0.5 mL concentration. This means that in 0.5 mL, there is 1 mg of vitamin K.
Therefore, the nurse should administer 0.5 mL to provide the correct dosage to the newborn.
Summary:
-
Choice A: Incorrect, as it does not match the concentration of the medication.
-
Choices B-G: Irrelevant as they do not provide the correct calculation based on the medication concentration.
Question 3 of 5
A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select all that apply)
Correct Answer: C,D,E
Rationale: The correct tasks to delegate to the LPN are C, D, and E. For choice C, administering a tap-water enema to a preoperative client falls within the LPN's scope of practice as it involves a routine procedure that does not require advanced assessment or critical thinking skills.
Choice D, cleaning vital signs from a client who is 6 hours postoperative, is a task that can be safely delegated to the LPN as it involves routine monitoring that does not require RN-level judgment.
Choice E, catheterizing a client who has not voided in 8 hours, is a task that the LPN can perform as it is a straightforward procedure that the LPN would have been trained to do.
Choices A and B involve more complex decision-making and education that are typically within the RN's scope of practice.
Question 4 of 5
A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.8
Rationale:
To calculate the mL of enoxaparin needed, divide the desired dose (30 mg) by the concentration (40 mg/mL): 30 mg / 40 mg/mL = 0.75 mL. Since the answer should be rounded to the nearest tenth, 0.75 rounds up to 0.8 mL.
Therefore, the correct answer is 0.8 mL.
Choice A (0.5 mL) is incorrect as it is not the result of the calculation.
Choices B, C, D, E, F, and G are also incorrect as they do not match the correct answer derived from the calculation.
Question 5 of 5
A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Edema. In chronic venous insufficiency, impaired blood flow leads to fluid accumulation in the affected limb, causing swelling or edema. This occurs due to increased venous pressure and decreased venous return. Dependent rubor (choice
A) is seen in arterial insufficiency, not venous. Thick, deformed toenails (choice
B) and hair loss (choice
C) are not typically associated with chronic venous insufficiency. Edema is a hallmark sign due to venous stasis and capillary leakage.