ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
Correct Answer: A
Rationale: The correct answer is A: Bradycardia. Straining while defecating can lead to increased vagal nerve stimulation, causing a reflex response of the heart rate decreasing, known as bradycardia. This response is common in older adults due to decreased physiological reserve. Bradycardia is a potential risk, especially for those with cardiac conditions.
Incorrect choices:
B: Gastric ulcer - Straining during defecation does not directly cause gastric ulcers.
C: Diarrhea - Straining is not associated with causing diarrhea.
D: Dilated pupils - Straining during defecation does not lead to dilated pupils.
Question 2 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: B
Rationale: The correct answer is B: Ask the client to turn onto her side. This is the correct intervention because the client's low blood pressure reading of 82/52 mm Hg indicates hypotension, which can be caused by aortocaval compression in the supine position. Turning the client onto her side will help alleviate this compression, improve blood flow, and prevent further complications.
Choice A (Prepare for a cesarean birth) is incorrect because there is no indication for a cesarean birth solely based on the blood pressure reading.
Choice C (Assist the client to an upright position) is incorrect as it may worsen hypotension due to gravitational pooling of blood.
Choice D (Prepare for an immediate vaginal delivery) is incorrect as the client is at 6 cm dilation, not fully dilated, and immediate delivery is not warranted based on the blood pressure reading.
Question 3 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Consume foods fortified with folic acid. Folic acid is crucial for preventing neural tube defects in newborns. It helps in the proper development of the baby's brain and spinal cord. Iron-rich foods (choice
A) are important for overall health but do not directly prevent neural tube defects. Limiting alcohol consumption (choice
C) is essential, but it does not specifically address neural tube defects. Avoiding foods containing aspartame (choice
D) is unrelated to preventing neural tube defects. In summary, choice B is correct as folic acid plays a significant role in reducing the risk of neural tube defects, while the other choices do not directly address this specific concern.
Question 4 of 5
A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C?
Correct Answer: B,C,D,E
Rationale: The correct answers for food sources of vitamin C are B (Strawberries), C (Orange), D (
Tomatoes), and E (Green pepper). Vitamin C is found in fruits and vegetables, not milk. Strawberries, oranges, tomatoes, and green peppers are all high in vitamin C. Strawberries and oranges are well-known for their vitamin C content.
Tomatoes are rich in vitamin C as well, particularly when eaten raw. Green peppers are also a good source of vitamin C, providing a colorful addition to the diet. These foods are recommended sources of vitamin C due to their high nutrient content, making them essential for overall health and immunity.
Question 5 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes early decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: C
Rationale: The correct answer is C: Fetal head compression. Early decelerations are gradual, mirror the contraction pattern, and are caused by pressure on the fetal head during contractions. This is a normal response to labor and does not indicate fetal distress. Umbilical cord compression (choice
A) would result in variable decelerations. Uteroplacental insufficiency (choice
B) would cause late decelerations. Maternal bradycardia (choice
D) would not directly affect the fetal heart rate.