ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN Questions
Question 1 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: The priority action for the nurse is to determine the reasons why the client is refusing to use the incentive spirometer. By understanding the client's concerns or issues, the nurse can address them effectively, provide education or support, and encourage the client to comply with the necessary postoperative care. This approach fosters a patient-centered care environment. Demonstrating how to use the spirometer (
Choice
A) may be important but is not the priority at this moment. Setting a realistic postoperative goal (
Choice
B) is relevant but not as immediate as understanding the client's refusal. Requesting a respiratory therapist (
Choice
D) can be considered later if needed, but the nurse's initial focus should be on understanding the client's perspective.
Question 2 of 5
A nurse is caring for a client with pneumonia who has a new prescription for antibiotics. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct first action for the nurse to take when caring for a client with pneumonia who has a new prescription for antibiotics is to obtain a sputum culture. This is important to identify the specific bacteria causing the pneumonia before administering antibiotics. Administering the antibiotic immediately (
Choice
A) may not be appropriate without knowing the specific pathogen. Notifying the provider of the prescription (
Choice
C) is important but not the first action to be taken. Checking the client's allergy history (
Choice
D) is relevant but not the priority in this situation.
Question 3 of 5
A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to his parents' room. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: In this scenario, where the grandparent lacks proper identification, the nurse should respectfully deny the request to take the newborn. It is crucial to prioritize the newborn's safety and security by following hospital policies and procedures. Checking the newborn's identification bracelet against the chart (
Choice
A) may not be sufficient to address the situation at hand, as the grandparent's lack of identification is the primary concern. While obtaining permission from the newborn's parents (
Choice
B) is important, the lack of proper identification from the grandparent takes precedence. Reviewing the newborn's footprints record (
Choice
D) is not necessary in this situation, as the immediate concern is ensuring proper identification and security before allowing the newborn to leave the nursery.
Question 4 of 5
Which intervention should be prioritized for a client experiencing panic-level anxiety?
Correct Answer: D
Rationale: During panic-level anxiety, the priority is to provide reassurance and remain with the client. This intervention helps to offer immediate support, comfort, and a sense of safety to the client. Postponing health teaching until anxiety subsides (
Choice
A) is not appropriate as the client's immediate emotional needs are more critical. Encouraging participation in group therapy (
Choice
B) may be beneficial in the long term but is not the priority during a panic attack. While monitoring vital signs (
Choice
C) is important, providing reassurance and support take precedence in managing panic-level anxiety.
Question 5 of 5
A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: The correct answer is D because a client with a fractured femur and sudden chest pain may be experiencing a pulmonary embolism, which requires immediate assessment.
Choice A is incorrect because although severe pain is present, it is more indicative of musculoskeletal issues related to urolithiasis rather than a life-threatening condition.
Choice B, related to acute cholecystitis, is less urgent than choice D as the pain radiating to the right shoulder is a common symptom but does not indicate an immediate life-threatening situation.
Choice C, regarding a client post-total knee arthroplasty with a pain level of 8, is important but not as urgent as a potential pulmonary embolism in choice D.