ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have a natural childbirth. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This empathetic response validates the client’s feelings, fostering emotional support. Other responses may dismiss or minimize her emotions, which is less therapeutic.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale: A 1-L (1000 mL) bag infused at 200 mL/hr takes: 1000 mL ÷ 200 mL/hr = 5 hours. The answer is a whole number, requiring no rounding. This ensures adequate fluid administration to support kidney function in rhabdomyolysis.
Question 3 of 5
A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In a mass casualty event, a client who remains apneic after airway repositioning is unlikely to survive and should receive a black tag, indicating resources should be allocated to others with better survival chances. Further repositioning, CPR, or a red tag are inappropriate due to limited resources and low survival likelihood.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action?
Correct Answer: A
Rationale: Checking the drainage for glucose is the initial action, as clear nasal drainage post-transsphenoidal hypophysectomy may indicate a cerebrospinal fluid (CSF) leak, a serious complication. CSF contains glucose, unlike nasal secretions, enabling quick identification. Notifying the provider, documenting, or culturing follow after confirming the leak.
Question 5 of 5
A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?
Correct Answer: A
Rationale: An infant with pertussis on oxygen requires immediate assessment due to the risk of severe respiratory complications like apnea or pneumonia. Diabetes monitoring, discharge instructions, and feeding assistance are less urgent, as they do not pose immediate life-threatening risks.