ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B Questions
Question 1 of 5
What are the nursing interventions for a patient with pneumonia?
Correct Answer: B
Rationale: The correct nursing interventions for a patient with pneumonia include monitoring lung sounds and respiratory rate to assess the effectiveness of treatment and the patient's respiratory status. Providing fluids and rest (
Choice
A) can be supportive measures but are not specific nursing interventions for pneumonia. Encouraging coughing and deep breathing exercises (
Choice
C) can be helpful for airway clearance but may not be appropriate for all patients with pneumonia. Administering antibiotics and providing oxygen therapy (
Choice
D) are medical interventions rather than nursing interventions.
Question 2 of 5
A nurse is performing a pain assessment for a client who is alert. The nurse should recognize that which of the following measures is the most reliable indicator of pain?
Correct Answer: A
Rationale: The correct answer is A: Self-report of pain. Pain is a subjective experience, and the most reliable way to assess it is through the client's self-report. While nonverbal behaviors and vital signs can provide additional information, they are not as reliable as the client's own report of pain. The severity of the condition may influence the experience of pain but is not a direct indicator of the client's pain level.
Question 3 of 5
A client with hyperthyroidism is prescribed propranolol. Which finding indicates that the propranolol is effective?
Correct Answer: B
Rationale: The correct answer is B because a decrease in blood pressure is an expected outcome when propranolol, a beta-blocker, is effectively managing hyperthyroidism. Propranolol helps control symptoms such as tachycardia and hypertension associated with hyperthyroidism.
Choices A, C, and D are incorrect because weight gain, increased energy, and an increased respiratory rate are not direct indicators of propranolol's effectiveness in treating hyperthyroidism.
Question 4 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 5 of 5
A healthcare professional is caring for a client with impaired mobility. Which of the following support devices should the healthcare professional plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: B
Rationale: A footboard is the correct choice to prevent plantar flexion contractures by maintaining proper alignment of the feet. Plantar flexion contractures involve the foot pointing downward, and a footboard helps keep the foot in a neutral position.
Choice A, the sheepskin heel pad, is used for pressure ulcer prevention and comfort but does not specifically address plantar flexion contractures.
Choice C, the trochanter roll, is used for hip positioning, not foot alignment.
Choice D, the abduction pillow, is used to maintain proper positioning of the legs but does not directly address plantar flexion contractures.