ATI RN
ATI Capstone Week 10 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Speak directly to the client in a normal, clear voice. This is the most appropriate action as it ensures effective communication without being patronizing or disrespectful. Speaking directly and clearly helps the client understand the information being conveyed. Speaking loudly (
A) may distort sound and not necessarily improve comprehension. Using sign language (
B) assumes the client knows sign language, which may not be the case. Speaking slowly (
C) can be perceived as condescending and may not necessarily improve understanding.
Question 2 of 5
A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?
Correct Answer: B
Rationale: The correct answer is B: Completing a dressing change. When performing a dressing change on a postoperative client who is HIV positive, there is a risk of exposure to the client's blood or bodily fluids. Wearing a gown as personal protective equipment helps to protect the nurse from potential contact with infectious materials during the procedure. Administering an IM injection (choice
A) typically does not require a gown unless there is a risk of splashing. Administering an intermittent IV bolus medication (choice
C) may require gloves but not necessarily a gown. Talking to the client at the bedside (choice
D) does not warrant the use of a gown unless there is a specific risk of exposure to bodily fluids during the conversation.
Question 3 of 5
The nurse is collecting data to determine the client’s risk factors related to cervical cancer. The nurse determines which information to be significant?
Correct Answer: A
Rationale: The correct answer is A: Multiple sexual partners. This is significant because having multiple sexual partners increases the risk of exposure to human papillomavirus (HPV), a major risk factor for cervical cancer. Option B, multiple pregnancies, is incorrect as it is not directly linked to cervical cancer. Option C, late onset of menarche, does not directly impact cervical cancer risk. Option D, use of a diaphragm, is not a significant risk factor compared to HPV exposure.
Question 4 of 5
A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?
Correct Answer: C
Rationale: The correct answer is C: "I need to be careful not to spread this to my family." Stomatitis is not contagious and cannot be spread to others.
Therefore, if the client expresses concern about spreading it to their family, it indicates a need for further teaching. The other options are incorrect because: A: Drinking room temperature beverages is recommended to help soothe the mouth. B: Taking analgesics can help manage the pain associated with stomatitis. D: Chemotherapy can indeed affect the immune system, leading to stomatitis as a side effect.
Question 5 of 5
A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: A dry, red rash across the bridge of the nose and on the cheeks. This finding is characteristic of systemic lupus erythematosus (SLE) and is known as a "butterfly rash." The rash is a key clinical manifestation of SLE due to immune complex deposition in the skin. This rash typically spares the nasolabial folds, which helps differentiate it from other rashes. Pitting edema of the hands and fingers (choice
A) is not a typical finding in SLE and is more commonly associated with conditions like heart failure or kidney disease. Subcutaneous nodules on the ulnar side of the arm (choice
B) are more indicative of conditions like rheumatoid arthritis. A grey-colored, non-purpuric papular rash (choice
D) is not a typical manifestation of SLE.