ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a 'hunchback' curvature of the client's spine. The nurse should expect the provider to document which of the following disorders?
Correct Answer: D
Rationale: The correct answer is D: Kyphosis. Kyphosis is a condition characterized by an excessive outward curvature of the spine, leading to a 'hunchback' appearance. In older adults with loss of bone density, such as osteoporosis, kyphosis can develop due to vertebral compression fractures. Ankylosis (
A) is a condition of stiffness or fusion of joints, not related to the spine curvature seen in this case. Scoliosis (
B) is a sideways curvature of the spine, not the forward curvature seen in kyphosis. Lordosis (
C) is an inward curvature of the spine, typically in the lower back, and is not associated with a 'hunchback' appearance.
Question 3 of 5
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. Aging leads to joint degeneration, weakening the musculoskeletal system. The cough reflex diminishes with age, increasing susceptibility to respiratory infections. Bladder capacity decreases due to weakening bladder muscles. A is incorrect as visual acuity typically decreases with age. B is incorrect as systolic blood pressure tends to increase. F and G are not provided in the question.
Question 4 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: C
Rationale: Answer C is correct because at 0 station, the lowermost portion of the fetus is at the level of the ischial spines. This indicates that the baby's head has descended to the level of the maternal ischial spines, which is a significant position in the birthing process. This is a key landmark for monitoring progress during labor.
Option A is incorrect because passing through the pelvic outlet is not the same as being at 0 station. Option B is incorrect because the palpability of the posterior fontanel is unrelated to station. Option D is incorrect because the fetal head position is not specified in the station measurement.
Question 5 of 5
A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: D
Rationale: The correct answer is D: You will need to increase your calcium intake during breastfeeding. During breastfeeding, calcium demands are higher to support milk production. Calcium is essential for bone health in both the mother and the baby. Increasing calcium intake can help prevent depletion of the mother's bone density.
A: Incorrect. Vitamin E requirements do not decline during pregnancy; they remain the same or may increase due to its antioxidant properties.
B: Incorrect. Iron intake should increase during pregnancy, but it does not need to be doubled for most women unless there is a specific medical indication.
C: Incorrect. Prenatal vitamins do not typically contain enough vitamin D to meet the increased needs during pregnancy, as additional supplementation may be necessary.
E, F, G: Not provided.