ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Daily jogging for up to 30 minutes is fine throughout the pregnancy. This response is appropriate because moderate-intensity aerobic exercise, like jogging, is generally safe and beneficial during pregnancy, especially in the first trimester. Jogging helps improve cardiovascular fitness and can help manage weight gain. It is important to advise the client to listen to her body, stay hydrated, and avoid overexertion.
Choice A is incorrect because exercising during pregnancy is recommended, as long as it is safe and appropriate for the individual.
Choice B is incorrect as activities that raise body temperature, such as saunas and hot tubs, are not safe during pregnancy as they can lead to overheating.
Choice D is incorrect as pregnant clients are encouraged to engage in a variety of exercises, including aerobic activities, not just limiting to stretching activities.
Question 2 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor colp or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: The correct answer is C: Changes in the cervix. In true labor, the cervix undergoes changes such as effacement (thinning) and dilation (opening). These cervical changes are indicative of the onset of labor and progression towards childbirth. By assessing the cervix, the nurse can determine if the client is indeed in true labor.
Rupture of the membranes (choice
A) may or may not occur in labor, and it alone does not confirm true labor. The pattern of contractions (choice
B) is important but not sufficient to differentiate true labor from false labor. The station of the presenting part (choice
D) refers to the position of the baby's head in relation to the pelvis and is not a definitive sign of true labor.
Question 3 of 5
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
Correct Answer: D
Rationale: The correct answer is D: Regression. The toddler's behavior of sitting quietly in the corner of the crib and sucking her thumb, along with turning away from the nurse when approached, indicates regression. Regression is a defense mechanism where individuals revert to an earlier stage of development in response to stress or anxiety. In this case, the toddler's hospitalization and separation from the mother may have triggered feelings of insecurity, leading to regressing to thumb sucking as a source of comfort.
A: Resentment toward the mother is not the correct choice as the behavior is more likely a coping mechanism rather than directed at the mother.
B: An anxiety reaction could be a possibility, but the specific behaviors described align more closely with regression.
C: Developing autonomy typically involves assertiveness and independence, which are not reflected in the described behaviors.
In summary, the toddler's behavior suggests regression as a response to stress, rather than resentment, anxiety, or developing autonomy.
Question 4 of 5
A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?
Correct Answer: 260
Rationale: The correct answer is 260 mL.
To calculate the child's fluid intake, we need to convert all measurements to mL. 1/2 cup of juice is approximately 120 mL, 3 oz of gelatin is approximately 90 mL, 1 oz of an ice pop is approximately 30 mL, and 20 mL of ginger ale. Adding these amounts together (120 + 90 + 30 + 20) gives a total of 260 mL. This is the total fluid intake the nurse should record for the child. Other choices are incorrect because they do not accurately reflect the total fluid intake based on the given measurements.
Question 5 of 5
A nurse is instructing clients in the community about relationship development. The nurse should explain that, according to Erikson, establishing relationships with commitment is a primary task of which of the following stages of psychosocial development?
Correct Answer: D
Rationale: The correct answer is D: Intimacy vs. isolation. In Erikson's psychosocial theory, this stage occurs in young adulthood, where individuals focus on developing intimate relationships based on mutual trust and commitment. This stage is characterized by the desire to form strong, lasting bonds with others.
Choice A, generativity vs. stagnation, focuses on the middle adulthood stage where individuals are concerned with contributing to society and nurturing the next generation.
Choice B, identity vs. role diffusion, pertains to adolescence and the struggle to establish a sense of self and direction.
Choice C, trust vs. mistrust, is the first stage in infancy where the focus is on developing a sense of trust in the world.