ATI CAPSTONE EXAM REVIEW
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is reviewing the laboratory results of a client who has a prescription for lithium
carbonate. Which of the following results should the nurse report to the provider?
A. Lithium level 1.8 mEq/L
B. Sodium level 140 mEq/L
C. Potassium level 4.2 mEq/L
D. BUN 15 mg/dL
Answer: A
Conceptual Explanation: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6
to 1.2 mEq/L) and indicates toxicity.
2. A nurse is caring for a client who is in active labor and has a prescription for oxytocin.
Which of the following findings should the nurse identify as an adverse effect of the
medication?
A. Contractions occurring every 2 to 3 minutes
B. Fetal heart rate 140/min
C. Late decelerations of the FHR
,D. Maternal blood pressure 120/80 mmHg
Answer: C
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency and are
an adverse effect of oxytocin requiring immediate intervention.
3. A nurse is assessing a client who has a chest tube. Which of the following findings indicates
a tension pneumothorax?
A. Continuous bubbling in the water seal chamber
B. Tidaling in the water seal chamber
C. Tracheal deviation to the unaffected side
D. Bloody drainage in the collection chamber
Answer: C
Conceptual Explanation: Tracheal deviation is a late sign of tension pneumothorax as
pressure builds in the pleural space.
4. A nurse is teaching a client who has a new prescription for digoxin. Which of the following
instructions should the nurse include?
A. Stop taking the medication if your heart rate is above 100/min.
B. Report instances of yellow-tinged vision.
C. Increase intake of foods high in Vitamin K.
D. Take the medication with an antacid to prevent GI upset.
, Answer: B
Conceptual Explanation: Yellow-tinged vision or halos are classic signs of digoxin toxicity.
5. A nurse is caring for a client who is 4 hours postoperative following a total thyroidectomy.
Which of the following is the priority assessment?
A. Laryngeal stridor
B. Pain level at the incision site
C. Serum calcium level
D. Voice pitch and quality
Answer: A
Conceptual Explanation: Using the ABC framework, laryngeal stridor indicates an airway
obstruction and is the highest priority.
6. A nurse is caring for a client who has a prescription for TPN. Which of the following actions
should the nurse take?
A. Change the TPN IV tubing every 72 hours.
B. Monitor blood glucose levels every 4 to 6 hours.
C. Speed up the infusion if the rate falls behind.
D. Check the solution for sediment before hanging.
Answer: B
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED
1. A nurse is reviewing the laboratory results of a client who has a prescription for lithium
carbonate. Which of the following results should the nurse report to the provider?
A. Lithium level 1.8 mEq/L
B. Sodium level 140 mEq/L
C. Potassium level 4.2 mEq/L
D. BUN 15 mg/dL
Answer: A
Conceptual Explanation: A lithium level of 1.8 mEq/L is above the therapeutic range (0.6
to 1.2 mEq/L) and indicates toxicity.
2. A nurse is caring for a client who is in active labor and has a prescription for oxytocin.
Which of the following findings should the nurse identify as an adverse effect of the
medication?
A. Contractions occurring every 2 to 3 minutes
B. Fetal heart rate 140/min
C. Late decelerations of the FHR
,D. Maternal blood pressure 120/80 mmHg
Answer: C
Conceptual Explanation: Late decelerations indicate uteroplacental insufficiency and are
an adverse effect of oxytocin requiring immediate intervention.
3. A nurse is assessing a client who has a chest tube. Which of the following findings indicates
a tension pneumothorax?
A. Continuous bubbling in the water seal chamber
B. Tidaling in the water seal chamber
C. Tracheal deviation to the unaffected side
D. Bloody drainage in the collection chamber
Answer: C
Conceptual Explanation: Tracheal deviation is a late sign of tension pneumothorax as
pressure builds in the pleural space.
4. A nurse is teaching a client who has a new prescription for digoxin. Which of the following
instructions should the nurse include?
A. Stop taking the medication if your heart rate is above 100/min.
B. Report instances of yellow-tinged vision.
C. Increase intake of foods high in Vitamin K.
D. Take the medication with an antacid to prevent GI upset.
, Answer: B
Conceptual Explanation: Yellow-tinged vision or halos are classic signs of digoxin toxicity.
5. A nurse is caring for a client who is 4 hours postoperative following a total thyroidectomy.
Which of the following is the priority assessment?
A. Laryngeal stridor
B. Pain level at the incision site
C. Serum calcium level
D. Voice pitch and quality
Answer: A
Conceptual Explanation: Using the ABC framework, laryngeal stridor indicates an airway
obstruction and is the highest priority.
6. A nurse is caring for a client who has a prescription for TPN. Which of the following actions
should the nurse take?
A. Change the TPN IV tubing every 72 hours.
B. Monitor blood glucose levels every 4 to 6 hours.
C. Speed up the infusion if the rate falls behind.
D. Check the solution for sediment before hanging.
Answer: B
