ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?
Correct Answer: A
Rationale: Self-feeding with adaptive equipment is realistic for a C5 injury, leveraging arm strength. Independent transfers, chin/mouth stick use, and bowel/bladder control are not feasible.
Question 2 of 5
A client arrives to the emergency department by ambulance. The client has a possible traumatic brain injury after a fall from a roof. Which of the following assessment findings will the triage nurse report to the provider immediately?
Correct Answer: B
Rationale: Decreasing consciousness indicates worsening neurological status, requiring immediate reporting. Normal pupils, headache, and GCS 13 are less urgent.
Question 3 of 5
A nurse who is mentoring a graduate nurse explains the correlation between severe blood loss and the effect on the client's mean arterial pressure (MAP). The graduate nurse demonstrates correct understanding when he states which of the following:
Correct Answer: D
Rationale: Severe blood loss reduces blood volume, lowering preload, cardiac output, and MAP. Initial vasoconstriction is temporary, and MAP correlates with blood volume.
Question 4 of 5
A nurse is assessing a client who has Bell's palsy. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,C
Rationale: Bell’s palsy causes impaired taste, pain behind the ear, and muscle distortion due to facial nerve involvement. Facial twitching and hearing loss are not typical.
Question 5 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5.3
Rationale: Convert 28 lb to 12.7 kg (28 × 0.453592). Dose = 12.7 kg × 10 mg/kg = 127 mg. Volume = (127 mg / 120 mg) × 5 mL ≈ 5.29 mL, rounded to 5.3 mL.