ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?
Correct Answer: A
Rationale: An infant with pertussis on oxygen requires immediate assessment due to the risk of severe respiratory complications like apnea or pneumonia. Diabetes monitoring, discharge instructions, and feeding assistance are less urgent, as they do not pose immediate life-threatening risks.
Question 2 of 5
A nurse is preparing to turn a client who is obese following a spinal fusion. The nurse should plan to use which of the following techniques to turn this client?
Correct Answer: B
Rationale: The log roll technique maintains spinal alignment during turning, critical post-spinal fusion, especially for obese clients to prevent site disruption. Draw sheets assist repositioning, sliding boards aid transfers, and Hoyer lifts are for lifting, not suitable for in-bed turning.
Question 3 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 4 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 5 of 5
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?
Correct Answer: A
Rationale: The Office of Emergency Management (OEM) should be notified immediately after 911, as it coordinates local response efforts, mobilizes resources, and manages the incident. FEMA and DHS provide federal support later, and the Red Cross assists with shelter and care but is not the first agency to contact.