ATI RN
ATI Capstone Exam 2 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Correct Answer: B
Rationale: Tingling suggests hypocalcemia from parathyroid damage, and Chvostek’s sign (facial twitching on tapping) confirms this. Babinski’s, Brudzinski’s, and Kernig’s signs assess neurological or meningeal issues.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: D
Rationale: Family history increases urolithiasis risk due to genetic predispositions. Diuretics may contribute but are less significant, BMI <25 is not a risk, and low dietary calcium, not hypocalcemia, promotes stones.
Question 3 of 5
A home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. Shopping and performing personal errands for the client is prohibited in the nurse’s job description. Which of the following is an appropriate nursing response?
Correct Answer: D
Rationale: Exploring alternative resources like delivery services respects professional boundaries while addressing the client’s needs. Offering to shop violates policy, waiting is impractical, and citing personal reasons lacks empathy.
Question 4 of 5
A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates concrete thinking?
Correct Answer: C
Rationale: Stating each problem has only one solution reflects concrete thinking, a literal and rigid thought pattern in schizophrenia. Other options indicate delusions or hallucinations, not concrete thinking.
Question 5 of 5
A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hours. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute?
Correct Answer: 31
Rationale: Calculate: (250 mL × 15 gtts/mL) ÷ (2 hours × 60 min) = 3750 ÷ 120 = 31.25 gtts/min, rounded to 31. This ensures accurate delivery of 250 mL over 2 hours with a 15 gtts/mL drop factor.