ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
The nurse is conducting a health history on a client diagnosed with hyperparathyroidism. Which question asked of the client would elicit information about this condition?
Correct Answer: A
Rationale: The correct answer is A: Are you experiencing pain in your joints? In hyperparathyroidism, increased parathyroid hormone levels can lead to bone resorption, causing bone pain and joint discomfort. This question would help assess for musculoskeletal manifestations of the condition.
B: Tremors in hands are not typically associated with hyperparathyroidism.
C: Swelling in legs at night is more suggestive of heart failure or venous insufficiency, not hyperparathyroidism.
D: Diarrhea is not a common symptom of hyperparathyroidism.
Question 2 of 5
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
Correct Answer: A
Rationale: The correct answer is A: Smoking cessation. Chronic bronchitis is often caused by smoking, so quitting smoking is the most effective way to prevent it. Smoking damages the airways and leads to inflammation, mucus production, and airflow obstruction characteristic of chronic bronchitis. Regular moderate exercise (
B) and maintenance of ideal weight (
C) are important for overall health but not specific to preventing chronic bronchitis. Annual influenza immunization (
D) helps prevent flu-related complications but not chronic bronchitis.
Question 3 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale:
Correct Answer: B - Movement of the trachea toward the unaffected side indicates a tension pneumothorax, a life-threatening complication that requires immediate intervention to prevent further respiratory distress and potential cardiovascular collapse. The trachea deviates due to the pressure buildup in the thoracic cavity pushing the mediastinum and trachea away from the affected lung. This finding warrants urgent notification of the provider for prompt intervention.
Incorrect
Choices:
A: Bubbling of the water in the water seal chamber with exhalation is an expected finding in a chest tube drainage system, indicating proper functioning.
C: Scant serosanguinous drainage on the dressing is normal post-chest tube insertion and does not require immediate provider notification.
D: Crepitus in the area above and surrounding the insertion site may indicate subcutaneous emphysema, which is a common benign finding post-chest tube insertion and does not warrant urgent provider notification.
Question 4 of 5
What information would the nurse include when educating a postsurgical client on the proper use of antiembolism stockings? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: A: Correct. Educating the client on the impairment to blood flow if the stockings are too tight is crucial to prevent complications like impaired circulation or pressure ulcers.
C: Correct. Ensuring skin hygiene and assessment each time the stockings are removed helps in early detection of any skin issues or irritations.
D: Correct. Wearing the stockings both in and out of bed promotes continuous prevention of blood clots, especially during periods of immobility.
E: Correct. Measuring the length and circumference of the leg ensures proper fit, which is essential for the stockings to be effective.
Incorrect choices: B is incorrect as the stockings should be worn continuously, not removed daily for 30 minutes.
Question 5 of 5
A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Coagulation disorder. A kidney biopsy involves inserting a needle into the kidney to obtain a tissue sample. If a client has a coagulation disorder, there is an increased risk of excessive bleeding during the procedure. This could lead to serious complications such as hemorrhage.
Flank pain (
A) is a common symptom in kidney conditions but is not a contraindication for a kidney biopsy. Elevated creatinine level (
B) may indicate kidney dysfunction but is not a direct contraindication for the procedure. Urinary retention (
D) does not directly affect the safety of a kidney biopsy.