ATI RN
ATI Capstone Exam 1 Questions
Extract:
Question 1 of 5
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because smallpox vesicles are more abundant on the face compared to chickenpox. This is a key characteristic of smallpox that differentiates it from chickenpox. Option B is incorrect because smallpox lesions all appear at the same stage. Option C is incorrect as smallpox vaccination does not provide lifelong immunity. Option D is incorrect as smallpox has been eradicated, so occurrences are not rare but non-existent.
Question 2 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: Action to Take: A, B; Potential Condition: None; Parameter to Monitor: C, E.
Rationale:
1. Inspecting for skin integrity (
A) allows the nurse to assess for any visible abnormalities or lesions.
2. Asking about abdominal pain history (
B) provides insight into potential underlying conditions.
3. Auscultating for bowel sounds (
C) helps assess gastrointestinal motility and function.
4. Percussing the abdomen (
D) helps identify areas of abnormal fluid or gas accumulation.
5. Palpating for tenderness (E) assesses for pain or masses in the abdomen.
Summary:
- Not inspecting the abdomen (
A) could miss skin abnormalities.
- Not asking about abdominal pain history (
B) could overlook important medical information.
- Skipping auscultation (
C) could lead to missing crucial gastrointestinal assessment.
- Not percussing (
D) may result in overlooking potential abdominal issues.
- Omitting palpation (E) could miss detecting tend
Question 3 of 5
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Breasts can be examined in the shower with soapy hands. This instruction is important because warm water and soap help to make the examination more comfortable and easier to detect any abnormalities. By examining the breasts in the shower, the individual can incorporate BSE into their routine without it feeling like a separate task. This method also allows for better coverage and thorough examination of the entire breast tissue.
Choice A is incorrect because using the palm of the hand in a circular motion may not be as effective in detecting lumps compared to using the fingertips.
Choice B is incorrect as breast dimpling or discharge are not normal signs of aging, and should be reported to a healthcare provider.
Choice D is incorrect as performing BSE at specific times in the menstrual cycle is not necessary.
Question 4 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 correct answer is B: Consensus evolves in this stage. During the norming stage of group development, members begin to resolve conflicts and establish norms and values. Consensus-building is crucial in this stage to ensure everyone is on the same page and working towards common goals. This process helps the group to develop cohesion and unity.
Choice A is incorrect because testing occurs in the forming stage, not norming.
Choice C is incorrect because constructive efforts typically occur in the performing stage, not norming.
Choice D is incorrect because resistance and subgroup formation usually happen in the storming stage, not norming.
Question 5 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: The correct answer is D: a client who has a lumbosacral spinal tumor. This client may require meal assistance due to potential physical limitations caused by the tumor. The nurse should delegate this task to the AP because it falls within their scope of practice.
Choice A (Guillain-Barré syndrome),
Choice B (systemic sclerosis), and
Choice C (ALS) all involve neuromuscular conditions that can affect the client's ability to swallow or chew, and thus meal assistance should be provided by a higher-level healthcare provider.
In summary, the correct answer is D because the client with a lumbosacral spinal tumor is more likely to need assistance with meals due to physical limitations, and the AP is appropriate for this task. The other choices involve conditions where meal assistance may require more specialized care.