ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is attending a social event when another guest coughs weakly once, grasps his throat, and cannot talk. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Perform the Heimlich maneuver. This action is appropriate for a choking individual who is unable to speak, cough weakly, and grasp their throat, indicating a partial airway obstruction. The Heimlich maneuver is designed to dislodge the obstruction by applying abdominal thrusts. This is the most effective intervention in this scenario to clear the airway and restore breathing. Slapping the client on the back (
B) may not effectively remove the obstruction. Mouth-to-mouth resuscitation (
C) is not indicated for a conscious choking person. Observing the client (
D) without taking immediate action can lead to a worsening situation.
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:
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Choice A: Incorrect, as it does not match the concentration of the medication.
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Choices B-G: Irrelevant as they do not provide the correct calculation based on the medication concentration.
Question 3 of 5
A nurse is teaching a client who has a new prescription for pancrelipase to aid in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes?
Correct Answer: A
Rationale: The correct answer is A: Decreased fat in stools. Pancrelipase is a pancreatic enzyme replacement therapy that helps break down fats, proteins, and carbohydrates.
Therefore, the client can expect decreased fat in stools as the enzymes aid in the digestion and absorption of fats.
Choice B, decreased watery stools, is incorrect as pancrelipase does not directly affect stool consistency.
Choices C and D are also incorrect as pancrelipase does not directly impact mucus or the color of stools. Overall, understanding the mechanism of action of pancrelipase helps to determine the correct gastrointestinal change to expect.
Question 4 of 5
A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation?
Correct Answer: D
Rationale: The correct answer is D: Knuckle deformity. Knuckle deformity in rheumatoid arthritis is a late manifestation due to prolonged inflammation and joint damage. This occurs after the initial symptoms such as low-grade fever, weight loss, and anorexia. Low-grade fever, weight loss, and anorexia are early systemic manifestations of RA caused by inflammation and metabolic changes. Knuckle deformity indicates advanced joint damage and chronic inflammation.
Therefore, it is considered a late manifestation compared to the other options.
Question 5 of 5
A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?
Correct Answer: D
Rationale: The correct answer is D: Cigarette smoking. Smoking is a modifiable risk factor for cardiovascular disease as individuals can quit smoking to reduce their risk. Family history (
A) and increasing age (
B) are non-modifiable risk factors. Diabetes (
C) is a risk factor but not modifiable in this context. Other choices not provided.