ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 A with NGN Questions
Question 1 of 5
Which intervention is most effective for managing a patient with constipation?
Correct Answer: B
Rationale: The most effective intervention for managing constipation in a patient is to administer a stool softener as prescribed. Stool softeners help relieve constipation by making the stool easier to pass, especially in postoperative patients. Increasing fluid intake can be beneficial but may not address the underlying cause of constipation. While a high-fiber diet is important for bowel health, it may not provide immediate relief for constipation. Teaching a patient to perform Valsalva maneuvers is not recommended for managing constipation as it can lead to adverse effects like increasing intra-abdominal pressure.
Question 2 of 5
A patient has difficulty ambulating after surgery. Which action should the nurse take first?
Correct Answer: C
Rationale: The correct first action for the nurse to take when a patient has difficulty ambulating after surgery is to call for assistance with ambulation. This is essential to ensure the safety of the patient and prevent any potential falls or injuries. Encouraging deep breathing exercises (
Choice
A) may be beneficial but should not be the first priority when the patient is having difficulty walking. Assisting the patient in ambulating a short distance (
Choice
B) may put both the patient and the nurse at risk if the patient is struggling. Assessing the patient's pain level before ambulation (
Choice
D) is important but should come after ensuring that the patient can safely ambulate with assistance.
Question 3 of 5
A patient is experiencing shortness of breath. What is the nurse's immediate action?
Correct Answer: B
Rationale: Administering oxygen at 2 liters per minute via nasal cannula is the immediate action for a patient experiencing shortness of breath. This intervention helps to improve oxygenation and relieve respiratory distress promptly. Placing the patient in a high Fowler's position (choice
A) may also be beneficial but providing oxygen takes precedence in this scenario to address the underlying hypoxemia. Encouraging deep breaths and coughing (choice
C) may not be appropriate as the first action, especially without assessing the patient first. Assessing lung sounds (choice
D) is essential but should follow the initial intervention of administering oxygen.
Question 4 of 5
What is the nurse's priority intervention for a patient who has developed a pressure ulcer?
Correct Answer: B
Rationale: The correct answer is to reposition the patient every 2 hours. Repositioning helps prevent the worsening of pressure ulcers by relieving pressure on affected areas and promoting blood circulation, which aids in healing. Applying a dressing (choice
A) is important but not the priority compared to repositioning. Providing pain medication (choice
C) is essential for comfort but does not address the root cause of the pressure ulcer. Cleaning the ulcer with normal saline (choice
D) is part of wound care but does not take precedence over repositioning to prevent further tissue damage.
Question 5 of 5
A nurse witnesses a colleague administering the wrong IV solution to a client. What should the nurse do first?
Correct Answer: B
Rationale: The correct first step for the nurse to take in this situation is to ask the colleague if they intend to report the error. It is important to address the error promptly and directly with the colleague involved to ensure that the appropriate actions are taken to correct the mistake and prevent harm to the client. Completing an incident report, calling the healthcare provider, or notifying the supervisor can be done after discussing the error with the colleague. Immediate communication with the colleague directly involved in the error is crucial to address the situation effectively.