PN ATI Capstone Proctored Comprehensive Assessment Form A - Nurselytic

Correct Answer: A

Rationale: Using Naegele's rule, to calculate the expected delivery date, you add one year, subtract three months, and add seven days to the first day of the last menstrual period. If the last menstrual period was in October, adding one year gives October of the following year. Subtracting three months gives July, and adding seven days gives the expected delivery date of July 11th.
Therefore, the correct answer is 711.
Choice B (1011) is incorrect as it doesn't follow Naegele's rule calculations.

Choices C (411) and D (1211) are also incorrect as they do not align with the correct application of Naegele's rule.

Correct Answer: B

Rationale: Fullness in the throat after a thyroidectomy could indicate bleeding or a hematoma, which can compress the airway, so hemorrhage is the priority concern. Hypocalcemia typically presents with symptoms like tingling around the mouth or in the extremities, muscle cramps, or seizures, not fullness in the throat. Hypoxia would manifest with symptoms like shortness of breath, confusion, or cyanosis, rather than a feeling of fullness in the throat. Hypothyroidism symptoms include fatigue, weight gain, and cold intolerance, but it does not typically cause acute fullness in the throat postoperatively.

Correct Answer: B

Rationale: The correct answer is B: Urine output of 20 mL/hour. Urine output below 30 mL/hour is a sign of magnesium toxicity due to the risk of accumulation in the body.

Choices A, C, and D are not indicative of magnesium toxicity. Elevated blood glucose, systolic blood pressure, and normal respiratory rate are not specific signs of magnesium toxicity.

Correct Answer: C

Rationale: The correct instruction for a client prescribed with doxazosin is to rise slowly when sitting up. Doxazosin can cause orthostatic hypotension, leading to dizziness upon sudden position changes. Instructing the client to rise slowly helps prevent this side effect.

Choices A, B, and D are incorrect because they are not directly related to the potential side effects or administration of doxazosin.

Correct Answer: D

Rationale: The correct answer is D because maintaining oxygen saturation of 90% is a specific, measurable short-term goal that ensures adequate oxygenation.
Choice A is not a goal focused on the client's physiological status but rather on the equipment.
Choice B is related to activities of daily living and does not address the respiratory distress issue.
Choice C is subjective and may not reflect the actual physiological improvement in the client's condition.