ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for several clients who are at various developmental stages. The nurse should explain that, according to Erikson, acceptance of death is a primary task of which of the following stages of psychosocial development?
Correct Answer: B
Rationale: The correct answer is B: Integrity vs. despair. According to Erikson's psychosocial development theory, the stage of Integrity vs. Despair occurs in late adulthood. During this stage, individuals reflect on their lives and come to terms with their mortality, accepting the reality of death. This acceptance leads to a sense of integrity and wisdom. Other options do not specifically address acceptance of death. A: Identity vs. role diffusion focuses on forming a sense of self. C: Generativity vs. stagnation involves contributing to society. D: Autonomy vs. shame and doubt pertains to developing independence.
Question 2 of 5
A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?
Correct Answer: A
Rationale: The correct answer is A: Airway patency. In the postoperative period following a thyroidectomy, airway patency is the priority to monitor due to the risk of airway obstruction from swelling or bleeding. If the airway is compromised, it can lead to serious complications such as respiratory distress or even respiratory arrest. Monitoring airway patency involves assessing for signs of respiratory distress, such as stridor, difficulty breathing, or changes in oxygen saturation. Temperature, pain control, and urination are important to monitor postoperatively, but ensuring the client's airway is clear and functioning properly takes precedence to prevent life-threatening complications.
Question 3 of 5
A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: This will occur between the fourth and fifth months of pregnancy. Quickening, the first perception of fetal movements by the mother, typically occurs between weeks 16-20 of gestation, which aligns with the fourth and fifth months. This timing is due to the development of the fetus's nervous system and muscle strength, allowing for noticeable movements. The other choices are incorrect because quickening does not occur by the end of the first trimester (
A), during the last trimester (
C), or solely when the uterus rises out of the pelvis (
D), as its timing is more closely related to fetal development.
Question 4 of 5
A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?
Correct Answer: 260
Rationale: The correct answer is 260 mL.
To calculate the child's fluid intake, we need to convert all measurements to mL. 1/2 cup of juice is approximately 120 mL, 3 oz of gelatin is approximately 90 mL, 1 oz of an ice pop is approximately 30 mL, and 20 mL of ginger ale. Adding these amounts together (120 + 90 + 30 + 20) gives a total of 260 mL. This is the total fluid intake the nurse should record for the child. Other choices are incorrect because they do not accurately reflect the total fluid intake based on the given measurements.
Question 5 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Rationale: Answer C is correct because urinary frequency is common in the first trimester due to hormonal changes and later in pregnancy due to the growing uterus pressing on the bladder. This response educates the client about the expected timeline of the symptom, offering reassurance.
Incorrect
Choices:
A: This choice does not provide the client with specific information about the timing of urinary frequency during pregnancy.
B: While it mentions the 12th week, it does not address the occurrence near the end of pregnancy.
D: This response dismisses the client's concern and fails to provide helpful information.