ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN Questions
Question 1 of 5
A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse include?
Correct Answer: A
Rationale: The correct action for the nurse to include in the plan of care for an older adult at risk for falls is to lock beds and wheelchairs when not in use. This measure is crucial for preventing falls and ensuring patient safety in healthcare settings. Administering sedatives at bedtime (
Choice
B) is not recommended as it does not address the underlying risk factors for falls and may increase the risk of injury. Providing information about home safety checks (
Choice
C) is important for fall prevention in the home environment but is not directly related to healthcare settings. Teaching balance and strengthening exercises (
Choice
D) is beneficial for fall prevention but may not be suitable for all older adults at risk for falls, especially in acute care settings.
Question 2 of 5
Which of the following foods is a good source of protein?
Correct Answer: C
Rationale: Cheddar cheese is indeed a good source of protein, providing a significant amount per serving. While chicken and tofu are also high in protein, cheddar cheese can be a beneficial source, especially for individuals looking for non-meat options. Almonds, while nutritious, are not as high in protein compared to the other options listed.
Question 3 of 5
A nurse is teaching a client about signs of infection after surgery. What statement indicates further teaching is required?
Correct Answer: B
Rationale: The correct answer is B. Any drainage from the incision site should be monitored, and any signs of infection, such as increased redness or warmth, need to be reported to the healthcare provider.
Choices A, C, and D provide accurate information about signs of infection after surgery and do not indicate a need for further teaching.
Question 4 of 5
How can a healthcare professional help prevent pressure ulcers in an immobile patient?
Correct Answer: A
Rationale: Ensuring proper nutrition and hydration is crucial in preventing pressure ulcers in immobile patients. Adequate nutrition supports tissue health and repair, while hydration helps maintain skin elasticity. While turning the patient every 2 hours is important to prevent pressure injuries, it is not the primary way to address prevention. Using moisture barriers and providing special mattresses or padding are essential components of pressure ulcer prevention, but they are not as fundamental as ensuring proper nutrition and hydration.
Question 5 of 5
While obtaining the health and medication history of a client with a respiratory infection, the nurse learns that the client developed a rash the last time she took an antibiotic despite not being aware of any allergies. What information should the nurse provide to the client?
Correct Answer: A
Rationale: The correct answer is to instruct the client to document the exact medication taken. This is crucial for preventing future allergic reactions. By knowing the specific antibiotic that caused the rash, healthcare providers can avoid prescribing it again, reducing the risk of an allergic response.
Choice B, 'Ignore the symptom,' is incorrect as ignoring a potential allergic reaction can lead to more severe complications.
Choice C, 'Stop taking antibiotics,' is not advisable without proper guidance from a healthcare provider.
Choice D, 'Continue with the current medication,' is also not recommended when there is a history of a rash related to antibiotic use.