ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: A
Rationale: The correct answer is A: Generalized urticaria. This finding indicates an allergic transfusion reaction because urticaria, or hives, is a common symptom of an allergic response. The release of histamine during the reaction causes itching and skin rash. Distended jugular veins (
B) are more indicative of fluid overload or heart failure. Blood pressure of 184/92 mm Hg (
C) is elevated but not specific to an allergic reaction. Bilateral flank pain (
D) may suggest kidney issues or musculoskeletal problems, not necessarily related to an allergic reaction.
Question 2 of 5
A nurse is caring for a client whose family member requests to view the client’s medical record. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: The client must provide permission to share the records with you. This is the correct answer because under HIPAA regulations, a client's medical records are confidential and can only be shared with the client's explicit permission. The nurse cannot disclose the records to a family member without the client's consent. Option A is incorrect because the ethics committee does not handle individual requests for medical records. Option B is incorrect as the nursing supervisor cannot release medical records without proper authorization. Option C is incorrect as the healthcare provider cannot share the information without the client's consent.
Question 3 of 5
A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?
Correct Answer: C
Rationale: The correct answer is C: Decreased muscle mass. As people age, there is a natural decline in muscle mass known as sarcopenia. This can lead to reduced strength and mobility.
Choice A, reduced chest width, is not a typical age-related musculoskeletal change.
Choice B, increased force of isometric contraction, is not a typical change and may lead to muscle fatigue.
Choice D, thickened vertebral discs, is not a common age-related change and may actually lead to disc degeneration. By including decreased muscle mass in the presentation, the nurse can educate the seniors about a common musculoskeletal change that may impact their daily activities.
Question 4 of 5
A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation?
Correct Answer: D
Rationale: The correct answer is D: Knuckle deformity. Knuckle deformity in rheumatoid arthritis is a late manifestation due to prolonged inflammation and joint damage. This occurs after the initial symptoms such as low-grade fever, weight loss, and anorexia. Low-grade fever, weight loss, and anorexia are early systemic manifestations of RA caused by inflammation and metabolic changes. Knuckle deformity indicates advanced joint damage and chronic inflammation.
Therefore, it is considered a late manifestation compared to the other options.
Question 5 of 5
Correct Answer:
Rationale: Question: What is the capital city of France?
Choices:
A: London
B: Berlin
C: Madrid
D: Rome
E: Paris
F: Moscow
G: Beijing
Correct Answer: E: Paris
Rationale:
1. Paris is the capital city of France, known for its iconic landmarks like the Eiffel
Tower.
2. London is the capital of the United Kingdom, not France.
3. Berlin is the capital of Germany, not France.
4. Madrid is the capital of Spain, not France.
5. Rome is the capital of Italy, not France.
6. Moscow is the capital of Russia, not France.
7. Beijing is the capital of China, not France.
Summary:
The correct answer is E: Paris because it is the capital city of France. The other choices are incorrect as they are capitals of different countries.