PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN - Nurselytic

Correct Answer: A

Rationale: Corrected
Rationale: Propranolol, a non-selective beta-blocker, should be avoided in clients with asthma as it can cause bronchoconstriction due to its beta2-blocking effects.
Therefore, a client history finding of asthma would require the nurse to clarify this medication prescription. Hypertension, tachydysrhythmias, and urolithiasis are not contraindications for propranolol use, making them incorrect choices. For clients with asthma, a beta1 selective blocker would be preferred to avoid exacerbating bronchoconstriction.

Correct Answer: B

Rationale: Urinary incontinence is a risk factor for developing pressure injuries due to prolonged skin exposure to moisture and irritants. Dehydration (choice
A) can contribute to skin dryness but is not a direct risk factor for pressure injuries. Poor nutrition (choice
C) can affect wound healing but is not specifically linked to pressure injuries. Poor tissue perfusion (choice
D) can increase the risk of tissue damage but is not as directly associated with pressure injuries as urinary incontinence.

Correct Answer: C

Rationale: The correct answer is Lyme disease. Lyme disease must be reported to the CDC as it is a nationally notifiable infectious disease. It is spread by ticks and can lead to significant health issues if not monitored. Measles, Hepatitis A, and Zika are also important infectious diseases, but in this case, Lyme disease is the appropriate choice based on the information provided.

Correct Answer: A

Rationale: The correct answer is A because it exemplifies smoothing, a conflict resolution strategy where the charge nurse reassures the staff nurse of their capabilities.
Choice B offers to take over the assignment, which is more of a compromising strategy.
Choice C suggests switching assignments, which aligns with compromising rather than smoothing.
Choice D proposes a discussion in a private setting, indicating a collaborating approach rather than smoothing.

Correct Answer: C

Rationale: The correct answer is C because a three-point gait is used when the client can bear full weight on one foot and uses crutches and the uninvolved leg to ambulate.

Choices A, B, and D are incorrect because they do not meet the criteria for using a three-point gait.
Choice A states that the client can bear full weight on both lower extremities, which does not require a three-point gait.
Choice B mentions bilateral leg braces due to paralysis, which would not involve using a three-point gait.
Choice D describes a client with bilateral knee replacements with partial weight bearing, which also does not align with the use of a three-point gait.