ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?
Correct Answer: A
Rationale: The correct answer is A: 3 years. At around 3 years old, children typically start descending stairs by placing both feet on each step and holding onto the railing for support. This is developmentally appropriate as it shows they have developed the coordination and balance to navigate stairs safely. At 6 years old (choice
B), children should already be able to descend stairs without needing to place both feet on each step.
Choices C (5 years) and D (4 years) are also incorrect as children at these ages should be displaying more advanced stair-descending skills compared to placing both feet on each step.
Question 2 of 5
A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Increase intake of calcium and vitamin D. In Cushing's disease, patients are at risk for osteoporosis due to long-term steroid use. Calcium and vitamin D help support bone health. Increasing carbohydrate intake (
A) is not necessary. Decreasing protein intake (
B) is not recommended as adequate protein is needed for muscle and tissue repair. Limiting potassium-rich foods (
D) is not relevant in Cushing's disease unless the patient has specific kidney issues.
Question 3 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.
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 triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?
Correct Answer: D
Rationale: The correct answer is D because the middle adult male is exhibiting symptoms of a potential cardiac emergency. Diaphoresis and epigastric pain are classic signs of a heart attack. This client requires immediate evaluation and intervention by a healthcare provider to rule out a life-threatening condition.
Choice A is incorrect because a toddler with a laceration, while distressing, does not indicate an immediate life-threatening situation.
Choice B is incorrect as the adolescent female's symptoms suggest alcohol or substance use but do not pose an immediate danger.
Choice C is incorrect as painful sunburn, while uncomfortable, is not an urgent medical issue.
In summary, the other choices do not present immediate life-threatening conditions that require urgent provider care, unlike choice D.