ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?
Correct Answer: A
Rationale: The correct answer is A: Cystitis. Cystitis is inflammation of the bladder, which can lead to sudden onset urinary incontinence in older adults. The inflammation can irritate the bladder, causing urgency and frequency of urination, leading to incontinence. Nephrosclerosis (
B) is a condition affecting the kidneys, not directly related to urinary incontinence. Diverticulitis (
C) is inflammation of the diverticula in the colon, not typically associated with urinary incontinence. Uremia (
D) is a condition where there are high levels of urea in the blood due to kidney dysfunction, which can cause various symptoms but not directly related to urinary incontinence.
Question 2 of 5
A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. In acute nephrotic syndrome, fluid retention leads to facial edema. This is a significant finding that the nurse should report to the provider as it indicates worsening kidney function. Poor appetite (
A), yellow nasal discharge (
B), and irritability (
C) are common symptoms in toddlers and are not directly related to acute nephrotic syndrome.
Therefore, they are not as urgent to report.
Question 3 of 5
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. Aging leads to joint degeneration, weakening the musculoskeletal system. The cough reflex diminishes with age, increasing susceptibility to respiratory infections. Bladder capacity decreases due to weakening bladder muscles. A is incorrect as visual acuity typically decreases with age. B is incorrect as systolic blood pressure tends to increase. F and G are not provided in the question.
Question 4 of 5
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
Correct Answer: D
Rationale: The correct answer is D: Regression. The toddler's behavior of sitting quietly in the corner of the crib and sucking her thumb, along with turning away from the nurse when approached, indicates regression. Regression is a defense mechanism where individuals revert to an earlier stage of development in response to stress or anxiety. In this case, the toddler's hospitalization and separation from the mother may have triggered feelings of insecurity, leading to regressing to thumb sucking as a source of comfort.
A: Resentment toward the mother is not the correct choice as the behavior is more likely a coping mechanism rather than directed at the mother.
B: An anxiety reaction could be a possibility, but the specific behaviors described align more closely with regression.
C: Developing autonomy typically involves assertiveness and independence, which are not reflected in the described behaviors.
In summary, the toddler's behavior suggests regression as a response to stress, rather than resentment, anxiety, or developing autonomy.
Question 5 of 5
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: The correct answer is B: Shortly after giving birth. Rubella vaccine is contraindicated during pregnancy to avoid any potential harm to the fetus. Postpartum vaccination ensures the client is protected before her next pregnancy. Option A is incorrect as it is contraindicated during the third trimester. Option C is incorrect because immediate vaccination during pregnancy is not recommended. Option D is incorrect as it is essential to vaccinate postpartum, not during the next attempt to get pregnant to prevent rubella infection during pregnancy.