ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess?
Correct Answer: B
Rationale: Aspartate aminotransferase (AST) is the priority, as heavy alcohol and high-dose acetaminophen pose a significant risk of liver damage. Elevated AST indicates liver injury, critical to monitor for hepatotoxicity. Creatinine, amylase, and ADH assess kidney, pancreatic, or fluid balance issues, less relevant here.
Question 2 of 5
A nurse is discussing the norming stage of the group development process with a student nurse. Which of the following statements by the student indicates understanding of the discussion?
Correct Answer: B
Rationale: The norming stage involves group cohesion and consensus as members resolve differences and establish shared goals. Testing and resistance occur in the storming stage, and constructive efforts are less specific to norming.
Question 3 of 5
A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
Correct Answer: D
Rationale: A client with a lumbosacral spinal tumor is least likely to have swallowing issues, making meal assistance appropriate for the AP. Guillain-Barré, systemic sclerosis, and ALS can impair swallowing, requiring specialized nurse-led feeding to prevent aspiration.
Question 4 of 5
A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse’s responsibilities?
Correct Answer: A
Rationale: The surgeon explains the procedure, risks, and benefits; nurses reinforce understanding and verify consent. Other actions are within the nurse’s scope to ensure safety and readiness.
Question 5 of 5
A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?
Correct Answer: A
Rationale: Bleeding is a significant risk post-TURP, potentially leading to hypovolemic shock if undetected. Infection and retention are concerns but less immediately life-threatening, and pain is manageable.