ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: The correct answers are A, C, D, and E.
A: Reducing cholesterol and saturated fat intake helps in managing blood lipid levels and reduces the risk of cardiovascular complications often associated with diabetes.
C: Maintaining optimal blood pressure is crucial to prevent kidney damage, as high blood pressure can worsen kidney function in diabetic patients.
D: Increasing physical activity and daily exercise helps in managing blood glucose levels, improving insulin sensitivity, and reducing the risk of cardiovascular complications.
E: Enrolling in a smoking cessation program is important because smoking increases the risk of cardiovascular disease and other complications in individuals with diabetes.
Incorrect choices:
B: Sustaining hyperglycemia is incorrect as it can lead to nerve damage and other complications in diabetes management.
Question 4 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct manifestations to monitor for in a client with acute respiratory failure (ARF) are decreased level of consciousness (
A), hypercarbia (
B), severe dyspnea (
C), and tachycardia (E). 1) Decreased level of consciousness indicates poor oxygenation to the brain due to inadequate gas exchange. 2) Hypercarbia, an increased level of carbon dioxide in the blood, is a common finding in ARF as the lungs fail to adequately remove CO2. 3) Severe dyspnea is a hallmark sign of ARF, indicating the body's struggle to obtain adequate oxygen. 4) Tachycardia is the body's compensatory response to hypoxia and respiratory distress.
Choices D, F, and G are incorrect because nausea is not a typical manifestation of ARF, and options F and G are not provided.
Question 5 of 5
A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?
Correct Answer: B
Rationale: The correct answer is B: Loud, grating sounds. In pleurisy, the inflamed pleural surfaces rub against each other, creating a loud, grating sound known as pleural friction rub. This sound is heard during both inspiration and expiration and is typically localized to the area of inflammation. Popping sounds (
A) are associated with atelectasis or airway collapse. Snoring sounds (
C) are caused by upper airway obstruction, not pleurisy. Squeaky, musical sounds (
D) are characteristic of wheezing, typically seen in conditions like asthma or COPD.