ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child’s appendix is perforated?
Correct Answer: A
Rationale: The correct answer is A: Sudden decrease in abdominal pain. A sudden decrease in abdominal pain can indicate a perforated appendix due to the release of pressure and inflammation. This sudden relief occurs when the appendix ruptures, causing the abdominal pain to subside temporarily. This is a critical sign that the appendix has perforated and requires immediate medical attention. The other choices are incorrect because: B: Absence of Rovsing’s sign is not specific to a perforated appendix. C: Low-grade fever is commonly seen in uncomplicated appendicitis and may not necessarily indicate perforation. D: A rigid abdomen is a sign of peritonitis, which can occur with a perforated appendix, but it is not as specific as the sudden decrease in pain.
Question 2 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 3 of 5
Correct Answer:
Rationale: Question: What is the capital city of France?
Choices:
A: London
B: Berlin
C: Madrid
D: Rome
E: Paris
F: Moscow
G: Beijing
Correct Answer: E: Paris
Rationale:
1. Paris is the capital city of France, known for its iconic landmarks like the Eiffel
Tower.
2. London is the capital of the United Kingdom, not France.
3. Berlin is the capital of Germany, not France.
4. Madrid is the capital of Spain, not France.
5. Rome is the capital of Italy, not France.
6. Moscow is the capital of Russia, not France.
7. Beijing is the capital of China, not France.
Summary:
The correct answer is E: Paris because it is the capital city of France. The other choices are incorrect as they are capitals of different countries.
Question 4 of 5
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: Action to Take: A, B; Potential Condition: None; Parameter to Monitor: C, E.
Rationale:
1. Inspecting for skin integrity (
A) allows the nurse to assess for any visible abnormalities or lesions.
2. Asking about abdominal pain history (
B) provides insight into potential underlying conditions.
3. Auscultating for bowel sounds (
C) helps assess gastrointestinal motility and function.
4. Percussing the abdomen (
D) helps identify areas of abnormal fluid or gas accumulation.
5. Palpating for tenderness (E) assesses for pain or masses in the abdomen.
Summary:
- Not inspecting the abdomen (
A) could miss skin abnormalities.
- Not asking about abdominal pain history (
B) could overlook important medical information.
- Skipping auscultation (
C) could lead to missing crucial gastrointestinal assessment.
- Not percussing (
D) may result in overlooking potential abdominal issues.
- Omitting palpation (E) could miss detecting tend
Question 5 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. Dysphagia, difficulty swallowing, is a priority finding in an older adult male as it can lead to aspiration and malnutrition. The nurse needs to address this promptly to prevent complications. Pruritus (choice
A) is itching and can be managed. Swollen gums (choice
B) may indicate dental issues but are not immediately life-threatening. Urinary hesitancy (choice
D) can be indicative of a urinary problem but does not pose an immediate risk compared to dysphagia.