ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pain worsens with activity. In osteoarthritis, pain typically worsens with movement or activity due to the degeneration of joint cartilage causing friction between bones. This is a hallmark symptom of osteoarthritis. Ulnar deviation (
A) is more commonly seen in rheumatoid arthritis. Symmetric joints affected (
B) is also more characteristic of rheumatoid arthritis rather than osteoarthritis. Weight loss (
D) is not a typical manifestation of osteoarthritis, unless it is due to decreased physical activity from pain.
Question 2 of 5
A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Administer the abdominal thrust maneuver. This action should be taken first because it is the appropriate intervention for a conscious individual with an airway obstruction. The abdominal thrust maneuver helps dislodge the foreign body by creating pressure to expel it. Performing a blind finger sweep (
A) can push the object further down the airway. Turning the client to the side (
B) may not effectively clear the airway obstruction. Inserting an oral airway (
C) could worsen the obstruction if not inserted correctly.
Therefore, administering the abdominal thrust maneuver is the priority to clear the airway obstruction in a conscious individual.
Question 3 of 5
A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Droplet precautions. Pertussis is primarily spread through respiratory droplets from coughing or sneezing. Droplet precautions involve wearing a mask and eye protection to prevent transmission through these droplets. Airborne precautions are for diseases spread through small particles, contact precautions are for direct physical contact, and protective precautions are not a standard type of transmission-based precaution. Droplet precautions are the most appropriate choice for pertussis to prevent the spread of the infection to others.
Question 4 of 5
A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times?
Correct Answer: A
Rationale: The correct answer is A: 730. After administering regular insulin, it is crucial to ensure the client receives breakfast within 30 minutes to an hour to prevent hypoglycemia. Breakfast at 730 allows adequate time for the insulin to start working before the client consumes food.
Choice B (745) is too late, increasing the risk of hypoglycemia.
Choice C (815) is too delayed and may cause an imbalance in blood sugar levels.
Choice D (720) is too soon after administering insulin, increasing the risk of hypoglycemia.
Question 5 of 5
A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 100
Rationale:
Correct Answer: 100
Rationale:
To calculate the IV pump rate, use the formula: (Volume to be infused in mL) / (Time in hours). In this case, 200 mL over 2 hours. 200 / 2 = 100 mL/hr.
Summary:
A. Incorrect. Not the correct calculation for the IV pump rate.
B. Incorrect. Not the correct calculation for the IV pump rate.
C. Incorrect. Not the correct calculation for the IV pump rate.
D. Incorrect. Not the correct calculation for the IV pump rate.
E. Incorrect. Not the correct calculation for the IV pump rate.
F. Incorrect. Not the correct calculation for the IV pump rate.
G. Incorrect. Not the correct calculation for the IV pump rate.