ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I’ll check my feet every day for sores and bruises."
Rationale: Daily foot checks are crucial for early detection of any issues in diabetic patients, as they are at a higher risk of developing foot ulcers. By checking for sores and bruises, the client shows an understanding of the importance of preventive care to avoid complications like infections or amputations.
Summary of Other
Choices:
A: Soaking feet in cool water can lead to maceration and increase the risk of skin breakdown, not recommended.
B: Putting lotion between toes can create a moist environment, potentially leading to fungal infections, not ideal.
D: Wearing sandals in warm weather is a good practice, but it doesn't directly address foot care concerns for diabetic patients.
Question 2 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: D
Rationale: The correct answer is D: Oliguria. Postoperative kidney transplant patients are at risk for organ rejection, which may manifest as decreased urine output (oliguria). This is due to the body's immune system attacking the transplanted kidney. Oliguria is a critical sign that the transplanted kidney may not be functioning properly. The other choices are incorrect because:
A) Normal body temperature doesn't indicate rejection;
B) Weight loss could be due to various factors post-surgery, not necessarily organ rejection;
C) Insomnia is not a typical sign of organ rejection.
Therefore, the key manifestation to watch for in this scenario is oliguria.
Question 3 of 5
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - "I’ll check my feet every day for sores and bruises."
Rationale: Daily foot checks are crucial for early detection of any issues in diabetic patients, as they are at a higher risk of developing foot ulcers. By checking for sores and bruises, the client shows an understanding of the importance of preventive care to avoid complications like infections or amputations.
Summary of Other
Choices:
A: Soaking feet in cool water can lead to maceration and increase the risk of skin breakdown, not recommended.
B: Putting lotion between toes can create a moist environment, potentially leading to fungal infections, not ideal.
D: Wearing sandals in warm weather is a good practice, but it doesn't directly address foot care concerns for diabetic patients.
Question 4 of 5
A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?
Correct Answer: C
Rationale: The correct answer is C: Gather further assessment data. This is appropriate because calf pain during walking could indicate a potential serious condition like deep vein thrombosis (DVT) in pregnancy. Gathering further assessment data will help the nurse determine the underlying cause of the calf pain and provide appropriate interventions. Instructing the client to limit walking episodes (
A) may not address the root cause, telling the client it's normal (
B) may overlook a serious issue, and instructing to elevate legs (
D) may not be the most appropriate action without a thorough assessment.
Question 5 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Correct Answer: A
Rationale:
Rationale: The correct answer is A: The hematocrit (Hct). Epoetin alfa is a medication used to stimulate red blood cell production in patients with renal disease. Monitoring the hematocrit levels helps assess the medication's effectiveness in increasing red blood cell count. Hematocrit measures the percentage of blood volume occupied by red blood cells. An increase in hematocrit indicates improved red blood cell production, indicating a therapeutic effect.
Incorrect
Choices:
B: The erythrocyte sedimentation rate (ESR) is a marker of inflammation, not related to the therapeutic effect of epoetin alfa.
C: The leukocyte count measures white blood cells, not relevant for monitoring the effects of epoetin alfa.
D: The platelet count assesses clotting ability, not indicative of the therapeutic effect of epoetin alfa.