ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B Questions
Question 1 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: The correct answer is C because white rice is a low-fiber food suitable for a low-fiber diet, making it an appropriate choice.
Choices A, B, and D are incorrect because fresh pear, refried beans, and bran cereal are high-fiber foods and not suitable for a low-fiber diet.
Question 2 of 5
A nurse is providing discharge teaching to a client following a cataract extraction. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: 'Avoid lifting more than 10 lb.' After a cataract extraction, the nurse should instruct the client to avoid lifting heavy objects to prevent increased intraocular pressure, which could lead to complications.
Choices A, B, and D are incorrect. A - 'Bend at the waist when picking up objects' can increase intraocular pressure; B - 'Avoid lying on the operative side' is not a specific concern related to cataract extraction; D - 'Apply ice to the affected eye' is not a standard post-cataract extraction instruction.
Question 3 of 5
The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?
Correct Answer: D
Rationale: The correct answer is to palpate the radial pulse in the left arm. When the antecubital insertion site is on the left side, it is important to assess the radial pulse on the same side to monitor circulation accurately. Palpating the brachial pulse in the right or left arm or the radial pulse in the right arm would not provide direct information about the circulation related to the catheterization site.
Question 4 of 5
A healthcare provider is providing teaching for a patient with a prescription for oral metronidazole, what is the priority teaching point?
Correct Answer: B
Rationale: The correct answer is to 'Report a rash.' Metronidazole can cause severe adverse reactions like Stevens-Johnson syndrome, a life-threatening rash. It is crucial to educate the patient to report any rash immediately to prevent serious complications.
Choices A, C, and D are incorrect because while they may be relevant to consider during metronidazole therapy, they are not the priority teaching point. Headaches can occur but are not as serious as a rash; avoiding sunlight is more related to doxycycline, not metronidazole; and taking with meals is a general instruction for some medications but not the priority teaching point for metronidazole.
Question 5 of 5
A healthcare professional is reviewing the lab results of a client with liver disease. Which finding requires immediate intervention?
Correct Answer: C
Rationale: Elevated ammonia levels in a client with liver disease can lead to hepatic encephalopathy, requiring immediate intervention. Ammonia is a neurotoxin that can cause cognitive impairment and altered mental status. Elevated bilirubin levels (
Choice
A) are common in liver disease but do not require immediate intervention. Low albumin levels (
Choice
B) and low hemoglobin levels (
Choice
D) are also common in liver disease but do not pose an immediate threat compared to elevated ammonia levels.