ATI RN
ATI Capstone Comprehensive Assessment B Questions
Question 1 of 5
A patient is at risk for impaired skin integrity. What is the priority intervention for the nurse?
Correct Answer: A
Rationale: The correct answer is to turn and reposition the patient every 2 hours. This intervention is crucial in preventing pressure ulcers and maintaining skin integrity by relieving pressure on bony prominences. Applying a moisture barrier (
Choice
B) is important for moisture-associated skin damage but is not the priority in this case. Massaging the patient's skin (
Choice
C) can potentially cause friction and shear, increasing the risk of skin breakdown. Applying a heating pad (
Choice
D) can lead to burns or thermal injuries, exacerbating skin integrity issues.
Question 2 of 5
What should be done to ensure safety during the transfer of a patient with limited mobility?
Correct Answer: C
Rationale: The correct answer is to lock the wheels on the bed and wheelchair. This action helps prevent accidents by stabilizing the equipment during the transfer process. Having the patient use a gait belt for support (choice
A) can be helpful but is not directly related to equipment safety. Encouraging the patient to hold onto a walker (choice
B) is beneficial for ambulation but does not address the safety of equipment. Asking the patient to transfer independently (choice
D) can pose risks, especially for a patient with limited mobility, and may not ensure safety during the transfer.
Question 3 of 5
A client is about to undergo surgery and is unsure about the procedure despite signing the consent. What should the nurse do?
Correct Answer: B
Rationale: When a client expresses doubts about a procedure after signing the consent form, it is crucial to stop the surgery and consult with the surgeon. This is important to ensure that the client's concerns are addressed, and there is a clear understanding of the procedure. Reassuring the client and proceeding with the surgery (choice
A) may violate the client's autonomy and right to informed consent. Proceeding with the surgery but documenting the concerns (choice
C) is not sufficient as the client's doubts should be resolved before proceeding. Postponing the surgery until further clarification is provided (choice
D) may be necessary, but the immediate step should be to consult with the surgeon to address the client's concerns.
Question 4 of 5
When educating a patient with hypertension about lifestyle changes, what is the most crucial advice to provide?
Correct Answer: A
Rationale: The most critical lifestyle change for a patient with hypertension is to reduce salt intake. Excessive salt consumption can lead to increased blood pressure levels. While limiting alcohol consumption (
Choice
B) and regular exercise (
Choice
C) are also beneficial for managing hypertension, reducing salt intake has a more direct impact on blood pressure control. Avoiding high-cholesterol foods (
Choice
D) is important for heart health but may not have as significant an impact on blood pressure as reducing salt intake.
Question 5 of 5
A healthcare professional is reviewing the notes written by a previous shift. Which documentation reflects proper guidelines?
Correct Answer: B
Rationale: The correct answer is B. Proper documentation should include objective observations and detailed notes to ensure continuity of care.
Choice A is incorrect because incomplete entries can lead to gaps in information and compromise patient care.
Choice C is not completely accurate as corrections should be made in a manner that does not obscure the original entry but does not necessarily require a signature.
Choice D is incorrect as entries should ideally be corrected by the original author to maintain accountability and accuracy.