ATI RN
ATI Capstone Week 11 Exam Questions
Extract:
Question 1 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: Airway patency is critical post-thyroidectomy due to swelling or hematoma risks. Temperature, pain, and urination are secondary.
Question 2 of 5
A nurse is caring for a client who has pruritus following treatment for scabies. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Mittens at night prevent scratching, reducing skin damage. Rubbing worsens itching, hot showers dry skin, and extra scabicide causes irritation.
Question 3 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: Juice: 1/2 cup = 120 mL; gelatin: 3 oz = 90 mL (1 oz = 30 mL); ice pop: 1 oz = 30 mL; ginger ale: 20 mL.
Total = 120 + 90 + 30 + 20 = 260 mL.
Question 4 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor for complications in response to this diagnosis?
Correct Answer: B
Rationale: Kawasaki disease causes inflammation of coronary arteries, risking aneurysms, myocarditis, and pericarditis. Cardiovascular monitoring is critical. Respiratory, integumentary, and gastrointestinal symptoms are secondary.
Question 5 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: B
Rationale: At 22 weeks, the fundus is approximately 3 cm above the umbilicus, aligning with uterine growth patterns.