ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is instructing a female client on obtaining a midstream urine specimen. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Urinating initially flushes out urethral contaminants, ensuring a cleaner midstream sample for accurate testing. Wiping back to front risks contamination, cooling urine can affect results, and while avoiding menstruation is advisable, it’s not the primary focus of the teaching.
Question 2 of 5
A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?
Correct Answer: B
Rationale: Irregular borders are a key sign of potential malignancy in nevi, as melanomas often have uneven, notched edges due to uncontrolled melanocyte growth. Pruritus is less specific, uniform pigmentation suggests benignity, and purulent drainage indicates infection, not cancer.
Question 3 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: B
Rationale: Brushing the client’s teeth with a suction toothbrush every 12 hours reduces bacterial load in the mouth, a key factor in preventing ventilator-associated pneumonia (VAP). Turning helps circulation, humidity aids comfort, and flat positioning increases aspiration risk, none directly targeting VAP as effectively.
Question 4 of 5
A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
Correct Answer: D
Rationale: A client with a lumbosacral spinal tumor is least likely to have swallowing issues, making meal assistance appropriate for the AP. Guillain-Barré, systemic sclerosis, and ALS can impair swallowing, requiring specialized nurse-led feeding to prevent aspiration.
Question 5 of 5
A nurse is caring for a client who has delusional behavior and states, 'I can’t go to group therapy today. I am expecting a high-level official to visit me.' The nurse responds, 'I understand, but it is time for group therapy and we expect everyone to attend. Let’s walk over together.' For which of the following reasons is the nurse’s response considered therapeutic?
Correct Answer: B
Rationale: Acknowledging the client’s feelings while gently encouraging participation builds trust and supports therapeutic communication. The response is empathetic, not primarily about setting limits or reflection.