ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?
Correct Answer: A
Rationale: The correct answer is A: Hemorrhage. Postoperative hemorrhage is a critical complication following a transurethral resection of the prostate due to the rich blood supply in the area. It can lead to hypovolemic shock and requires immediate intervention to prevent further complications. Monitoring for signs of bleeding such as increased heart rate, decreased blood pressure, and decreased urine output is crucial.
B: Infection is an important complication to monitor for but is not as immediately life-threatening as hemorrhage.
C: Urinary retention can occur postoperatively but is not as urgent as hemorrhage.
D: Pain management is important for the client's comfort, but it is not the priority in this situation.
In summary, monitoring for hemorrhage is crucial as it is the most life-threatening complication that requires immediate attention compared to the other options.
Question 2 of 5
A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pain worsens with activity. In osteoarthritis, pain typically worsens with movement or activity due to the degeneration of joint cartilage causing friction between bones. This is a hallmark symptom of osteoarthritis. Ulnar deviation (
A) is more commonly seen in rheumatoid arthritis. Symmetric joints affected (
B) is also more characteristic of rheumatoid arthritis rather than osteoarthritis. Weight loss (
D) is not a typical manifestation of osteoarthritis, unless it is due to decreased physical activity from pain.
Question 3 of 5
A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rapid speech. In clients with moderate anxiety, rapid speech is a common finding due to the increased arousal and nervousness associated with anxiety. The individual may talk quickly as a way to cope with their anxiety. Distorted perceptual field (
A) is more indicative of severe anxiety or psychosis. Urinary frequency (
B) is not a typical finding in moderate anxiety, unless there are underlying medical issues. Rapid speech (
C) aligns with the increased arousal and restlessness seen in moderate anxiety.
Question 4 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 5 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Hyperkalemia. In prerenal AKI, decreased blood flow to the kidneys leads to reduced filtration and impaired excretion of potassium, resulting in hyperkalemia. Hypophosphatemia (
A), hypercalcemia (
C), and hypernatremia (
D) are not typically associated with prerenal AKI. In prerenal AKI, there is usually no significant change in phosphate levels, calcium levels are typically normal or low due to volume depletion, and sodium levels may be normal or decreased due to reduced renal perfusion.