ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B Questions
Question 1 of 5
A nurse is preparing to administer medications to four clients. The nurse should administer medications to which client first?
Correct Answer: B
Rationale: The correct answer is B. The client with renal failure and high potassium levels requires immediate attention because hyperkalemia can lead to life-threatening cardiac complications. Administering sodium polystyrene sulfonate helps lower the potassium levels.
Choice A, the client with pneumonia and a high WBC count, although important, does not present an immediate life-threatening condition.
Choice C, the post-CABG client prescribed atorvastatin, and
Choice D, the client with anemia and a hemoglobin level of 11g/dL prescribed epoetin alfa, do not require immediate intervention compared to managing hyperkalemia in a client with renal failure.
Question 2 of 5
A client is being taught about which foods to include in a low fiber diet. Which statement indicates understanding?
Correct Answer: C
Rationale: In this scenario, option C, "Selecting white rice as a side dish is a good choice," indicates an understanding of foods to include in a low-fiber diet. White rice is a low-fiber food that is gentle on the digestive system, making it suitable for individuals following a low-fiber diet.
Option A, choosing a fresh pear, is high in fiber and would not be appropriate for a low-fiber diet. Option B, refried beans, is also high in fiber and should be avoided in a low-fiber diet. Option D, bran cereal, is a high-fiber food and not suitable for a low-fiber diet.
Educationally, understanding the principles of a low-fiber diet is crucial for individuals with specific health conditions such as gastrointestinal disorders or after certain types of surgeries. Teaching patients about appropriate food choices empowers them to manage their health effectively and prevent complications. It is essential for healthcare providers to provide clear and accurate information to support patients in making informed dietary decisions.
Question 3 of 5
A client who reports insomnia is being taught by a nurse about promoting rest and sleep. Which statement should indicate to the nurse that the client understands the instructions?
Correct Answer: C
Rationale: The correct answer is C because avoiding alcohol before bedtime can help promote better sleep.
Choice A is incorrect as vigorous exercise close to bedtime can actually hinder sleep.
Choice B is also incorrect as consuming beverages with caffeine or sugar close to bedtime can disrupt sleep.
Choice D, while a good practice, does not directly address the issue of avoiding alcohol before bedtime to improve sleep quality.
Question 4 of 5
A client with a new diagnosis of type 1 diabetes mellitus is being taught about self-administration of insulin by a nurse. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is to store the current bottle of insulin at room temperature. Insulin should be stored this way to maintain its potency and effectiveness.
Choice B is incorrect because massaging the injection site after removing the needle is not recommended practice and can cause bruising.
Choice C is incorrect as pulling back on the plunger after injecting insulin can lead to injecting air bubbles into the tissue.
Choice D is incorrect as syringes should not be reused multiple times due to the risk of contamination and inaccurate dosing.
Question 5 of 5
A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following?
Correct Answer: D
Rationale: In this scenario, the correct answer is
D) Dysrhythmias. Straining while defecating can lead to an increase in intra-abdominal pressure, which can stimulate the vagus nerve. Stimulation of the vagus nerve can result in a vasovagal response, potentially leading to bradycardia and dysrhythmias in vulnerable individuals, such as older adults.
Option
A) Diarrhea is incorrect because straining during defecation is more likely to cause constipation rather than diarrhea. Option
B) Gastric ulcer is unrelated to straining during defecation. Option
C) Dilated pupils are not a direct consequence of straining during defecation.
Educationally, it is crucial for nurses to understand the physiological responses that can occur in older adult clients to provide safe and effective care. By knowing the potential risks associated with straining during defecation, nurses can educate clients on proper bowel habits to prevent complications like dysrhythmias. This knowledge enhances the nurse's ability to promote optimal health outcomes in older adult populations.