ATI RN
ATI Capstone Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a group of clients. Which of the following clients is at risk for developing peripheral arterial disease?
Correct Answer: B
Rationale: The correct answer is B: A client who has diabetes mellitus. Diabetes mellitus is a major risk factor for developing peripheral arterial disease (PA
D) due to atherosclerosis caused by high blood sugar levels damaging blood vessels over time. This leads to reduced blood flow to the extremities, increasing the risk of PAD.
Choice A is incorrect as fat intake alone does not directly correlate with PAD development.
Choice C is incorrect as moderate alcohol consumption is not a significant risk factor for PAD.
Choice D is incorrect as hypothyroidism is not a primary risk factor for PAD. It is essential to focus on diabetes management and lifestyle modifications to reduce the risk of developing PAD in clients with diabetes mellitus.
Question 2 of 5
A client is scheduled to have a percutaneous transluminal coronary angioplasty (PTCA) to treat coronary artery disease. What information about the balloon-tipped catheter would the nurse plan to include when providing client education concerning the procedure?
Correct Answer: C
Rationale:
Correct Answer: C - The catheter will be used to compress the plaque against the coronary blood vessel wall.
Rationale: During a PTCA procedure, a balloon-tipped catheter is used to compress the plaque against the vessel wall, widening the artery lumen and improving blood flow. This process does not involve cutting away the plaque or taking pressure measurements. Option A is incorrect as the catheter does not spring open but rather compresses the plaque. Option B is incorrect as the catheter is not used for pressure measurements. Option D is incorrect as there is no embedded blade to cut away the plaque.
Question 3 of 5
A nurse is caring for a client who is cognitively impaired and repeatedly pulls on his NG tube. Which of the following actions should the nurse take before requesting a prescription for restraints? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct actions are A, B, C, and E.
A) Providing diversionary activities can distract the client from pulling on the NG tube.
B) Assisting with toileting at frequent intervals helps address any discomfort or restlessness that may be contributing to the behavior.
C) Involving the family can provide additional support and understanding of the client's needs. E) Using an electronic bed alarm device can alert the nurse when the client is attempting to pull on the NG tube, allowing for timely intervention. These actions focus on addressing the underlying reasons for the behavior and ensuring the client's safety without resorting to restraints, which should be a last resort due to ethical and legal considerations.
Question 4 of 5
A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?
Correct Answer: D
Rationale: The correct answer is D: Fever. Infection at the pin sites in skeletal traction can lead to systemic signs such as fever. Fever is a common indicator of infection as the body responds to pathogens by increasing its temperature. Serosanguineous drainage, mild erythema, and warmth can be normal findings in the early stages of healing or due to inflammation, but fever indicates a more serious underlying issue like infection.
Therefore, the nurse should prioritize monitoring for fever to promptly identify and address any potential infection.
Question 5 of 5
A nurse is assessing a client. Which of the following actions should the nurse take to assess the posterior tibial pulse? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct actions to assess the posterior tibial pulse are A, B, and C. A: Palpating the area behind the ankle bone locates the posterior tibial pulse accurately. B: Using the pads of the fingers helps to detect the pulse's strength and regularity. C: Comparing pulse strength with the other leg enables the nurse to identify any discrepancies. D: Assessing for swelling or tenderness is not directly related to locating the pulse.
Therefore, choices D, E, F, and G are incorrect for assessing the posterior tibial pulse.