ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rapid speech. In clients with moderate anxiety, rapid speech is a common finding due to the increased arousal and nervousness associated with anxiety. The individual may talk quickly as a way to cope with their anxiety. Distorted perceptual field (
A) is more indicative of severe anxiety or psychosis. Urinary frequency (
B) is not a typical finding in moderate anxiety, unless there are underlying medical issues. Rapid speech (
C) aligns with the increased arousal and restlessness seen in moderate anxiety.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale:
To calculate the infusion time, divide the total volume (1000 mL) by the rate of infusion (200 mL/hr). This gives 5 hours for the IV pump to infuse the 1-L bag. The correct answer is 5. Other choices are incorrect because they do not result from the correct calculation.
Choice A: 2 hours (incorrect, not enough time for the infusion).
Choice B: 3 hours (incorrect, not enough time for the infusion).
Choice C: 4 hours (incorrect, not enough time for the infusion).
Choice D: 6 hours (incorrect, too long for the infusion).
Choice E: 7 hours (incorrect, too long for the infusion).
Choice F: 8 hours (incorrect, too long for the infusion).
Choice G: 9 hours (incorrect, too long for the infusion).
Question 3 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Severe headache. Meningitis commonly presents with severe headache due to inflammation of the meninges. This is a classic symptom and should be expected during assessment. Blurred vision (
A) is not a typical finding in meningitis. Being oriented to person, place, and year (
C) is a sign of intact mental status, which may not be present in someone with meningitis. Bradycardia (
D) is not a common finding in meningitis; tachycardia is more likely due to the body's response to infection.
Question 4 of 5
A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Droplet precautions. Pertussis is primarily spread through respiratory droplets from coughing or sneezing. Droplet precautions involve wearing a mask and eye protection to prevent transmission through these droplets. Airborne precautions are for diseases spread through small particles, contact precautions are for direct physical contact, and protective precautions are not a standard type of transmission-based precaution. Droplet precautions are the most appropriate choice for pertussis to prevent the spread of the infection to others.
Question 5 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Do not adjust the oxygen flow rate. It is essential not to adjust the oxygen flow rate as it is prescribed by a healthcare provider based on the client's condition. Incorrectly adjusting the flow rate can lead to inadequate oxygen delivery or oxygen toxicity.
Choice A is incorrect as wool blankets can generate static electricity, which can be dangerous around oxygen.
Choice C is incorrect because oxygen tanks should be stored vertically to prevent accidents.
Choice D is incorrect as oxygen equipment should be checked daily for safety and functionality.