ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 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 2 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.
Question 3 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: The correct answer is B because it acknowledges the client's feelings of disappointment and validates her emotions. It demonstrates empathy and understanding, which can help build trust and rapport with the client.
Choice A is incorrect as it may come off as dismissive or insensitive.
Choice C focuses on the baby, not the client's feelings.
Choice D is not relevant to the client's emotional concerns.
Question 4 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.
Question 5 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.