ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 A with NGN Questions
Question 1 of 5
Which of the following statements reflects the principles of sterile technique?
Correct Answer: A
Rationale: The correct statement reflecting the principles of sterile technique is that sterile objects that come in contact with unsterile objects are considered contaminated. This principle is crucial in maintaining asepsis during medical procedures.
Choice B is incorrect because items in a sterile package should only be used if they remain sterile; opening the package does not automatically contaminate the items.
Choice C is incorrect as any part of a sterile field that hangs below the top of the table is considered unsterile.
Choice D is incorrect as the edge of a sterile field and a border inward are typically considered unsterile to maintain the integrity of the sterile area.
Question 2 of 5
When teaching a patient about self-administration of insulin, what is the most important instruction to provide?
Correct Answer: A
Rationale: The most important instruction to provide when teaching a patient about self-administration of insulin is to rotate injection sites to prevent tissue damage. Rotating injection sites helps prevent lipodystrophy (tissue damage) and ensures proper insulin absorption. Option B is incorrect because the angle of insulin injection varies depending on the patient's body composition. Injecting at a 90-degree angle is not always necessary. Option C is not the most crucial instruction; while storing insulin in the refrigerator is important, it is not the priority when teaching self-administration. Option D is also important for maintaining consistency but is not as critical as rotating injection sites to prevent tissue damage.
Question 3 of 5
A nurse is preparing to administer medications to a client via a nasogastric (NG) tube. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: 'Flush the NG tube before and after each medication.' Flushing the NG tube is essential to ensure that the medication passes through smoothly without any obstruction. It helps prevent clogging of the tube and ensures that the full dose of the medication reaches the patient. Options A, C, and D are incorrect because crushing all medications at once, administering only liquid forms of medications, and skipping tube flushing entirely can lead to complications such as tube blockages, incomplete medication administration, and potential harm to the client.
Question 4 of 5
A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take in accordance with hospital policy?
Correct Answer: B
Rationale: The correct answer is B because patients on fall precautions need continuous monitoring until discharge to prevent falls. While encouraging visitors during visiting hours (
Choice
A) is important for the patient's well-being, it is not related to fall precautions. Checking on the patient every shift (
Choice
C) is an essential nursing intervention, but keeping the patient on fall precautions is more specific to preventing falls. Raising all four side rails (
Choice
D) is not recommended as it can restrict the patient's mobility and is considered a restraint practice.
Question 5 of 5
While working the night shift, a nurse observes a colleague behaving strangely. What is the best course of action?
Correct Answer: B
Rationale: When a nurse observes a colleague behaving strangely, the best course of action is to report the behavior to the supervisor. Unusual behavior by a healthcare professional could compromise patient safety and should be addressed promptly. Ignoring the behavior (
Choice
A) could potentially lead to negative outcomes for patients. Asking the colleague directly (
Choice
C) may not be appropriate if the behavior poses a risk. Discussing the behavior with other colleagues (
Choice
D) may not directly address the issue and could lead to gossip rather than a resolution.