ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for four clients who have drainage tubes. Which of the following clients is at risk for hypokalemia?
Correct Answer: D
Rationale: Continuous suctioning removes potassium-rich gastric contents, increasing the risk of hypokalemia. Other tubes (tracheostomy, urinary catheter, chest tube) do not typically cause significant potassium loss.
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: The correct sequence is: Inspect (visual assessment first), ask about pain history (provides context), auscultate (before palpation/percussion to avoid altering bowel sounds), percuss (assesses fluid/air), and palpate (last to avoid discomfort). This order ensures accurate findings.
Question 3 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which of the following statements by the client indicates a need for clarification?
Correct Answer: B
Rationale: The statement 'I have to choose a family member as my health proxy' indicates a need for clarification. A health care proxy can be any trusted person, not necessarily a family member. The other statements are correct: the proxy activates upon incapacity, can be changed anytime, and makes end-of-life decisions if needed.
Question 4 of 5
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: For a single missed oral contraceptive dose in the first week, the client should take the missed dose as soon as possible and continue the regular schedule, even if it means two pills in one day. This maintains contraceptive efficacy. Stopping pills, testing for pregnancy, or abstaining until the next period are unnecessary for one missed dose.
Question 5 of 5
Correct Answer:
Rationale: