RN ATI Capstone Proctored Comprehensive Assessment 2019 B

Question 1 of 5

A client with diabetes mellitus is prescribed prednisone for a rash. Which statement by the client indicates the need for further teaching?

A. I might have trouble falling asleep while taking prednisone B. I might feel emotional when I am on this medicine C. I might need to increase my regular insulin during this time D. I will gradually stop the prednisone when my rash goes away

Correct Answer: D

Rationale: The correct answer is D. Prednisone should never be stopped abruptly; it must be tapered down. Stopping it suddenly can lead to adrenal insufficiency.

Choices A, B, and C are all potential side effects or considerations when taking prednisone and do not indicate a need for further teaching.

Question 2 of 5

A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality?

A. Log out of the computer terminal before leaving. B. Share passwords for computer access with colleagues. C. Change computer access passwords on a regular basis. D. Avoid accessing information about clients admitted to other units.

Correct Answer: A

Rationale: The correct answer is A: Log out of the computer terminal before leaving. Logging out before leaving the computer terminal is crucial to ensuring patient data remains confidential and to prevent unauthorized access.
Choice B is incorrect because sharing passwords compromises confidentiality.
Choice C is incorrect as changing passwords regularly, although a good practice for security, is not directly related to maintaining client confidentiality.
Choice D is incorrect as it does not address the immediate concern of maintaining client confidentiality through proper access to electronic medical records.

Question 3 of 5

A nurse is preparing to administer medications to four clients. The nurse should administer medications to which client first?

A. A client who has pneumonia and a WBC count of 11,500/mm3 prescribed piperacillin B. A client who has renal failure and a serum potassium of 5.8 mEq/L prescribed sodium polystyrene sulfonate C. A client who is post-coronary artery bypass graft (CABG) prescribed atorvastatin D. A client who has anemia and a hemoglobin level of 11g/dL prescribed epoetin alfa

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 4 of 5

A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?

A. Lower rates of maternal morbidity B. Reduced incidence of death from motor-vehicle crashes C. Increased rates of chronic illness D. More frequent dental preventative care visits

Correct Answer: C

Rationale: The correct answer is C: 'Increased rates of chronic illness.' Rural areas often face challenges such as limited access to healthcare services, healthcare provider shortages, socioeconomic factors, and lifestyle choices that contribute to higher rates of chronic illnesses. Maternal morbidity rates are typically higher in rural areas due to limited access to obstetric care. While rural areas may have fewer motor-vehicle crashes compared to urban areas, the severity of crashes is usually higher due to factors like longer emergency response times. Dental care access can also be limited in rural areas, leading to less frequent preventative care visits.

Question 5 of 5

A client has a prescription for vancomycin 1g IV intermittent infusion over 30 minutes every 12 hours. What action should the nurse take?

A. Start the infusion immediately B. Slow down the infusion rate C. Contact the provider for prescription clarification D. Check blood pressure during the infusion

Correct Answer: C

Rationale: The correct action for the nurse to take is to contact the provider for prescription clarification. Administering vancomycin over less than 60 minutes can lead to infusion reactions like hypotension and flushing. Starting the infusion immediately (choice
A) is incorrect as it goes against the prescribed rate. Slowing down the infusion rate (choice
B) without provider approval can result in underdosing the medication. Checking blood pressure during the infusion (choice
D) is important but not the most immediate action needed in this situation.

Nurselytic

ATI RN

ATI RN