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

Correct Answer: C

Rationale: The healthcare professional should verify the client's vaccination history to ensure they are due for the flu vaccine. Verifying the client's age (choice
A) is important for other vaccines but not specifically for the flu vaccine. While allergy to eggs (choice
B) is relevant as the flu vaccine is traditionally produced in eggs, it is not the top priority for verification. The client's weight (choice
D) is not directly related to the administration of the flu vaccine.

Correct Answer: D

Rationale: The correct answer is D: Airborne. Tuberculosis is spread through small droplets that remain airborne for longer periods, hence requiring airborne precautions.


Choice A - Contact precautions are used for diseases spread by direct or indirect contact.


Choice B - Droplet precautions are for diseases transmitted by large respiratory droplets that can travel short distances.


Choice C - Protective isolation is not necessary for tuberculosis, as it is not spread through contact with the client.

Correct Answer: C

Rationale: The correct answer is C, 'Living will.' A living will is a legal document that outlines an individual's preferences for life-sustaining medical treatment if they become unable to make decisions.
Choice A, 'Do Not Resuscitate,' specifically refers to a directive that instructs healthcare providers not to perform CPR.
Choice B, 'Informed consent,' pertains to a patient's right to be informed about and consent to medical treatment.
Choice D, 'Durable power of attorney for health care,' involves appointing someone to make healthcare decisions on behalf of an individual when they are unable to do so.

Correct Answer: A

Rationale: Corrected
Rationale: When administering warfarin, it is crucial to verify the patient's INR levels. INR monitoring is essential to ensure that the patient is receiving the correct dose of warfarin for their condition and to minimize the risk of bleeding.

Choices B, C, and D are incorrect because administering warfarin with food, monitoring blood glucose levels, and assessing liver function are not directly related to the safe administration and monitoring of warfarin therapy.

Correct Answer: A

Rationale: The correct answer is to pinch the skin and inject at a 45-degree angle when administering enoxaparin. This technique helps ensure proper administration of the medication. Massaging the injection site after administering is unnecessary and could increase the risk of bleeding. Administering at a 90-degree angle is not recommended for enoxaparin injections. Rotating injection sites is important to prevent tissue damage and irritation.