ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postpartum and asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: In 3 to 5 days. This is because breast milk typically comes in around 3 to 5 days after giving birth, as it takes time for hormonal changes to trigger milk production. Option A (Within 2 days) is too soon for most women to experience lactogenesis II. Option C (In about 10 days) and Option D (In 6 to 8 days) are both incorrect as they are outside the typical timeframe for milk production to start. It's important for the nurse to provide accurate information to the client to manage her expectations and provide proper support during this crucial time.
Question 2 of 5
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: Action to Take: A, B; Potential Condition: None; Parameter to Monitor: C, E.
Rationale:
1. Inspecting for skin integrity (
A) allows the nurse to assess for any visible abnormalities or lesions.
2. Asking about abdominal pain history (
B) provides insight into potential underlying conditions.
3. Auscultating for bowel sounds (
C) helps assess gastrointestinal motility and function.
4. Percussing the abdomen (
D) helps identify areas of abnormal fluid or gas accumulation.
5. Palpating for tenderness (E) assesses for pain or masses in the abdomen.
Summary:
- Not inspecting the abdomen (
A) could miss skin abnormalities.
- Not asking about abdominal pain history (
B) could overlook important medical information.
- Skipping auscultation (
C) could lead to missing crucial gastrointestinal assessment.
- Not percussing (
D) may result in overlooking potential abdominal issues.
- Omitting palpation (E) could miss detecting tend
Question 3 of 5
Correct Answer:
Rationale: Question: What is the capital city of France?
Choices:
A: London
B: Berlin
C: Madrid
D: Rome
E: Paris
F: Amsterdam
G: Brussels
Correct Answer: E (Paris)
Rationale:
1. Paris is the capital city of France, confirmed by historical and geographical sources.
2. London, Berlin, Madrid, Rome, Amsterdam, and Brussels are the capitals of other European countries, making them incorrect choices.
Summary: Paris is the correct answer due to its status as the capital of France, while the other choices are capitals of different European countries.
Question 4 of 5
A nurse is providing discharge teaching to a client who has a new prescription for verapamil for angina. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Increase your daily intake of dietary fiber. Verapamil, a calcium channel blocker used for angina, can cause constipation as a side effect. Increasing dietary fiber helps prevent constipation by promoting bowel regularity. This instruction is important for the client's overall well-being and medication compliance.
A: Swelling of the ankles is not a common side effect of verapamil.
B: Verapamil can be taken with or without food, so taking it on an empty stomach is not necessary.
C: There is no need to limit fluid intake to meal times while taking verapamil.
Question 5 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
To calculate the infusion time, divide the total volume (1000 mL) by the rate of infusion (200 mL/hr). This gives 5 hours for the IV pump to infuse the 1-L bag. The correct answer is 5. Other choices are incorrect because they do not result from the correct calculation.
Choice A: 2 hours (incorrect, not enough time for the infusion).
Choice B: 3 hours (incorrect, not enough time for the infusion).
Choice C: 4 hours (incorrect, not enough time for the infusion).
Choice D: 6 hours (incorrect, too long for the infusion).
Choice E: 7 hours (incorrect, too long for the infusion).
Choice F: 8 hours (incorrect, too long for the infusion).
Choice G: 9 hours (incorrect, too long for the infusion).