ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Prevent aspiration. This is the priority because with intermaxillary fixation, the client's ability to swallow and protect their airway is compromised. Aspiration can lead to serious complications such as pneumonia. Promoting oral hygiene (
A) can be important but not the priority. Ensuring adequate nutrition (
B) is important but can be addressed once the risk of aspiration has been minimized. Relieving pain (
D) is also important but not the priority over preventing aspiration in this case.
Question 2 of 5
A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child’s appendix is perforated?
Correct Answer: A
Rationale: The correct answer is A: Sudden decrease in abdominal pain. A sudden decrease in abdominal pain can indicate a perforated appendix due to the release of pressure and inflammation. This sudden relief occurs when the appendix ruptures, causing the abdominal pain to subside temporarily. This is a critical sign that the appendix has perforated and requires immediate medical attention. The other choices are incorrect because: B: Absence of Rovsing’s sign is not specific to a perforated appendix. C: Low-grade fever is commonly seen in uncomplicated appendicitis and may not necessarily indicate perforation. D: A rigid abdomen is a sign of peritonitis, which can occur with a perforated appendix, but it is not as specific as the sudden decrease in pain.
Question 3 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: B
Rationale: The correct answer is B: Brush the client's teeth with a suction toothbrush every 12 hours. This action helps reduce the risk of ventilator-associated pneumonia by preventing the buildup of bacteria in the oral cavity that could be aspirated into the lungs. Ventilator-associated pneumonia is often caused by bacteria from the oral cavity entering the respiratory system. Regular oral care, including brushing the teeth, helps to reduce the bacterial load in the mouth. Turning the client every 4 hours (choice
A) helps prevent pressure ulcers but does not directly reduce the risk of ventilator-associated pneumonia. Providing humidity in the ventilator tubing (choice
C) is important for maintaining airway moisture but does not specifically target pneumonia prevention. Positioning the head of the client's bed flat (choice
D) is important for proper ventilation but does not address oral care and bacterial buildup.
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 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.