ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct findings to expect in a client with emphysema are C: Barrel chest, D: Clubbing of the fingers, and E: Dyspnea. Emphysema is characterized by hyperinflation of the alveoli, leading to a barrel chest due to chronic air trapping. Clubbing of the fingers can occur due to chronic hypoxia. Dyspnea is a common symptom in emphysema due to impaired gas exchange. A: Bradycardia and B: Deep respirations are not typically associated with emphysema. Bradycardia is more commonly seen in conditions like hypothyroidism, while deep respirations are not a characteristic finding in emphysema.
Question 2 of 5
A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?
Correct Answer: B
Rationale: The correct answer is B: Follows objects with eyes. At 2 months, infants should be able to track and follow objects with their eyes, showing visual tracking skills. This is a crucial developmental milestone indicating healthy visual development. Grasping objects typically develops around 3-4 months, laughing and squealing around 4-6 months, and rolling from back to side around 4-5 months.
Therefore, choices A, C, and D are incorrect as they represent skills that typically develop later in infancy.
Question 3 of 5
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?
Correct Answer: A
Rationale: The correct answer is A: 3 years. At around 3 years old, children typically start descending stairs by placing both feet on each step and holding onto the railing for support. This is developmentally appropriate as it shows they have developed the coordination and balance to navigate stairs safely. At 6 years old (choice
B), children should already be able to descend stairs without needing to place both feet on each step.
Choices C (5 years) and D (4 years) are also incorrect as children at these ages should be displaying more advanced stair-descending skills compared to placing both feet on each step.
Question 4 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 5 of 5
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings as a therapeutic response to this medication?
Correct Answer: C
Rationale: The correct answer is C: Increase in energy. Liothyronine is a thyroid hormone replacement therapy used to treat hypothyroidism. Thyroid hormones play a key role in regulating metabolism and energy levels in the body.
Therefore, an increase in energy is a therapeutic response to liothyronine as it indicates that the medication is effectively restoring thyroid hormone levels to normal.
Incorrect choices:
A: Increase in weight - Hypothyroidism is often associated with weight gain, so with effective treatment like liothyronine, weight gain should decrease or stabilize.
B: Decrease in body temperature - Hypothyroidism can lead to feeling cold, so with proper treatment, body temperature should normalize.
D: Decreased heart rate - Hypothyroidism can cause a slow heart rate, so with treatment, the heart rate should increase towards normal levels.