ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler’s position. Placing the client in Semi-Fowler’s position after a cholecystectomy helps to promote optimal lung expansion and oxygenation. This position reduces pressure on the diaphragm and abdomen, allowing for improved respiratory function. Additionally, it helps prevent complications such as atelectasis and pneumonia. Supported Sims position (
A) is used for enemas, not post-cholecystectomy care. Dorsal recumbent position (
C) is for pelvic exams, not indicated here. Prone position (
D) would put pressure on the abdomen and is contraindicated post-cholecystectomy.
Question 2 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: The correct initial action is to check the drainage for glucose (
Choice
A). This is crucial because clear drainage after a transsphenoidal hypophysectomy may indicate a cerebrospinal fluid leak, which can be confirmed by the presence of glucose in the drainage. If glucose is present, it suggests leakage of cerebrospinal fluid and requires immediate intervention to prevent complications such as infection and meningitis. The other options (B, C, and
D) are not the most appropriate initial actions. Notifying the provider, documenting the amount of drainage, or obtaining a culture can be important steps but should come after confirming the presence of glucose to address the immediate concern of a potential cerebrospinal fluid leak.
Question 3 of 5
A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 3
Rationale: The correct answer is 3 tablets.
To achieve a total of 30 mg, the nurse should administer 3 tablets of 10 mg each (10 mg x 3 = 30 mg). Other choices are incorrect because:
A) 1 tablet is not enough to reach 30 mg,
B) 2 tablets only add up to 20 mg,
C) 4 tablets exceed the required dose,
D) 5 tablets exceed the required dose, E) 6 tablets exceed the required dose, F) 7 tablets exceed the required dose, G) 8 tablets exceed the required dose.
Question 4 of 5
Correct Answer:
Rationale: Question: Which of the following is NOT a primary color in the subtractive color model?
Choices: A: Red, B: Blue, C: Yellow, D: Green, E: Cyan, F: Magenta, G: Black
Correct Answer: D: Green
Rationale: In the subtractive color model (used in printing), primary colors are Cyan, Magenta, and Yellow. When combined, they create a range of colors. Green is a secondary color in this model, created by mixing Cyan and Yellow.
Therefore, Green is NOT a primary color.
Summary:
Choices A, B, C, E, F are incorrect as they are primary colors in the subtractive color model.
Choice G, Black, is also incorrect as it is the key color used for shading and darkness, not a primary color in this model.
Question 5 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. Dysphagia, difficulty swallowing, is a priority finding in an older adult male as it can lead to aspiration and malnutrition. The nurse needs to address this promptly to prevent complications. Pruritus (choice
A) is itching and can be managed. Swollen gums (choice
B) may indicate dental issues but are not immediately life-threatening. Urinary hesitancy (choice
D) can be indicative of a urinary problem but does not pose an immediate risk compared to dysphagia.