ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a halo fixation device. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Monitor the client for an elevated temperature. This is important because an elevated temperature could indicate infection, which is a significant concern when a client has a halo fixation device. Removing the vest daily (
Choice
A) is not recommended as it can compromise the stability of the device. Checking that the halo jacket is snug (
Choice
B) is important, but monitoring for an elevated temperature is a higher priority. Providing range of motion to the client's neck (
Choice
C) is contraindicated with a halo device as it can cause serious injury.
Question 2 of 5
A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse plan to implement?
Correct Answer: C
Rationale: The correct answer is C: Vitamin B12 injections. Pernicious anemia is caused by a lack of intrinsic factor necessary for Vitamin B12 absorption. Vitamin B12 injections bypass the need for intrinsic factor, ensuring the client receives an adequate amount of the vitamin. Iron supplements (
B) are not effective in treating pernicious anemia as it is not related to iron deficiency. Vitamin B supplements (
A) may not be absorbed effectively due to the lack of intrinsic factor. Blood transfusions (
D) may be used for severe cases of anemia, but they do not address the underlying Vitamin B12 deficiency in pernicious anemia.
Question 3 of 5
A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse recognize as a potential complication?
Correct Answer: C
Rationale: The correct answer is C: Cardiac murmur. Endocarditis is an infection of the inner lining of the heart chambers and valves, which can lead to the development of a new murmur due to valve damage or vegetation formation. This can result in turbulent blood flow, causing the murmur. A friction rub (choice
A) is more indicative of pericarditis, intermittent claudication (choice
B) is associated with peripheral arterial disease, and dependent rubor (choice
D) is seen in chronic arterial insufficiency.
Therefore, recognizing a new cardiac murmur in a client with endocarditis is crucial as it can indicate complications such as valve dysfunction or embolic events.
Question 4 of 5
The nurse reviews a primary health care provider’s prescriptions and notes that a topical nitrate is prescribed. The nurse notes that acetaminophen is prescribed to be administered before the nitrate. The nurse implements the prescription with which understanding about why acetaminophen is prescribed?
Correct Answer: C
Rationale: The correct answer is C. Headache is a common side effect of nitrates. Nitroglycerin, a common topical nitrate, is often prescribed for angina to dilate blood vessels and improve blood flow to the heart. One common side effect of nitrates is headache due to vasodilation, and acetaminophen is often prescribed to help alleviate this headache.
Choices A and B are incorrect as they do not directly relate to why acetaminophen is prescribed with nitrates.
Choice D is incorrect because acetaminophen does not potentiate the therapeutic effect of nitrates, it only helps with headache relief.
Choice E is a duplicate of D.
Question 5 of 5
The nurse, caring for a client with Buck’s traction, is monitoring the client for complications of the traction. Which assessment finding indicates a complication of this form of traction?
Correct Answer: A
Rationale: The correct answer is A: Weak pedal pulses. Buck's traction is used for immobilization and alignment of fractures, particularly femoral fractures. Weak pedal pulses indicate impaired circulation, which could lead to complications like compartment syndrome or deep vein thrombosis. Monitoring pulses is crucial in assessing the circulation to the affected limb.
Choice B (Complaints of leg discomfort) is common and expected with traction but doesn't indicate a complication.
Choice C (
Toes are warm and demonstrate a brisk capillary refill) indicates good circulation.
Choice D (Drainage at the pin sites) may indicate infection but is not a specific complication related to traction.