ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?
Correct Answer: A
Rationale:
Rationale:
Choice A, facial edema, is a warning sign of potential danger in early pregnancy as it could indicate preeclampsia, a serious condition. Preeclampsia can lead to high blood pressure and affect the placenta's function.
Choices B, C, and D are common discomforts in the first trimester and do not necessarily indicate danger. Nausea and vomiting are common in early pregnancy, leukorrhea is normal vaginal discharge, and urinary frequency is a common symptom due to hormonal changes. It is important for the nurse to educate the client on recognizing warning signs like facial edema to ensure early intervention if necessary.
Question 2 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.
Question 3 of 5
A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: The recommendation for you is about 15 to 25 pounds. This is because a client with a BMI of 26.5 falls into the overweight category, and the recommended weight gain during pregnancy for overweight individuals is 15-25 pounds. This range helps in promoting a healthy pregnancy and reducing the risk of complications. Options A and D suggest weight gain ranges that are higher than recommended for an overweight individual, which could lead to potential health risks. Option C states a fixed rate of 1 pound per week, which may not be suitable for everyone and could lead to excessive weight gain.
Therefore, option B is the most appropriate recommendation for a client with a BMI of 26.5.
Question 4 of 5
A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C?
Correct Answer: B,C,D,E
Rationale: The correct answers for food sources of vitamin C are B (Strawberries), C (Orange), D (
Tomatoes), and E (Green pepper). Vitamin C is found in fruits and vegetables, not milk. Strawberries, oranges, tomatoes, and green peppers are all high in vitamin C. Strawberries and oranges are well-known for their vitamin C content.
Tomatoes are rich in vitamin C as well, particularly when eaten raw. Green peppers are also a good source of vitamin C, providing a colorful addition to the diet. These foods are recommended sources of vitamin C due to their high nutrient content, making them essential for overall health and immunity.
Question 5 of 5
A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson's developmental stages should the nurse consider in the planning?
Correct Answer: A
Rationale: The correct answer is A: Industry vs. inferiority. At the age of 9, children are in Erikson's stage of Industry vs. Inferiority, where they develop a sense of competence and mastery. When planning home care for the child, the nurse should consider activities that promote feelings of accomplishment and competence to avoid feelings of inadequacy.
Choices B, C, and D are not the most relevant as they correspond to different developmental stages. B: Identity vs. role confusion is more applicable to adolescence, C: Initiative vs. guilt is for preschool-aged children, and D: Autonomy vs. shame and doubt is for toddlers.
Therefore, A is the best choice for a 9-year-old child with asthma.