ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who asks how albuterol helps his breathing. Which of the following responses should the nurse make? (Select all that apply)
Correct Answer: C,D
Rationale:
Correct Answer: C,D
Rationale:
C: The medication will prevent wheezing. Albuterol is a bronchodilator that works by relaxing the muscles in the airways, preventing and relieving wheezing.
D: The medication will open the airway. Albuterol acts by opening the airways, making it easier for the client to breathe.
Summary:
A: The medication will reduce inflammation. Albuterol does not directly reduce inflammation; it primarily works as a bronchodilator.
B: The medication will decrease coughing episodes. While albuterol may indirectly reduce coughing by improving breathing, its primary action is not to decrease coughing.
E: The medication will stimulate the flow of mucus. Albuterol does not stimulate mucus flow; it primarily works to open the airways and relieve bronchospasm.
Question 2 of 5
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Correct Answer: B
Rationale: The correct answer is B: Aspartate aminotransferase (AST). The nurse should prioritize assessing AST because both alcohol consumption and acetaminophen use can lead to liver damage. Elevated AST levels indicate liver injury, making it crucial to monitor for potential hepatotoxicity in this client. Creatinine (choice
A) is typically assessed to evaluate kidney function, not directly related to alcohol or acetaminophen use. Amylase (choice
C) is an enzyme related to pancreas health, not specifically affected by alcohol or acetaminophen. Antidiuretic hormone (ADH - choice
D) is related to fluid balance, not a priority in this scenario. By focusing on AST, the nurse can promptly identify any liver damage and intervene accordingly.
Question 3 of 5
A nurse is caring for a client who has delusional behavior and states, 'I can’t go to group therapy today. I am expecting a high-level official to visit me.' The nurse responds, 'I understand, but it is time for group therapy and we expect everyone to attend. Let’s walk over together.' For which of the following reasons is the nurse’s response considered therapeutic?
Correct Answer: B
Rationale: The correct answer is B: It demonstrates empathy towards the client. By acknowledging the client's feelings and showing understanding, the nurse is building a therapeutic relationship based on empathy. This approach helps the client feel heard and validated, fostering trust and cooperation. The other choices are incorrect because:
A) while the response does articulate expectations, it does not address the client's emotions or perspective;
C) while setting limits is important, the response does not directly address manipulative behavior;
D) reflection involves paraphrasing or summarizing the client's thoughts, which is not evident in the nurse's response.
Question 4 of 5
Correct Answer:
Rationale: Question: What is the capital of France?
Choices:
A: London
B: Madrid
C: Rome
D: Paris
E: Berlin
F: Amsterdam
G: Brussels
Correct Answer: D: Paris
Rationale:
1. Paris is the capital of France, confirmed by its historical, cultural, and political significance.
2. London, Madrid, Rome, Berlin, Amsterdam, and Brussels are capitals of other European countries.
3. Selecting any choice other than Paris would be factually incorrect based on geography and global knowledge.
Question 5 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.