ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Correct Answer: A,B,C,D,E
Rationale: The correct sequence is: Inspect (visual assessment first), ask about pain history (provides context), auscultate (before palpation/percussion to avoid altering bowel sounds), percuss (assesses fluid/air), and palpate (last to avoid discomfort). This order ensures accurate findings.
Question 2 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 3 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directive. Which of the following statements by the client indicates a need for clarification?
Correct Answer: B
Rationale: The statement 'I have to choose a family member as my health proxy' indicates a need for clarification. A health care proxy can be any trusted person, not necessarily a family member. The other statements are correct: the proxy activates upon incapacity, can be changed anytime, and makes end-of-life decisions if needed.
Question 4 of 5
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: Volume = 1 mg ÷ (1 mg/0.5 mL) = 0.5 mL. This ensures the correct dose is administered to prevent hemorrhagic disease in the newborn.
Question 5 of 5
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Examining breasts in the shower with soapy hands facilitates detecting lumps, as soap allows smoother gliding. Using the palm is incorrect (finger pads are used), dimpling/discharge requires medical evaluation, and BSE should be done post-menstruation when breasts are less tender.