ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A Questions
Question 1 of 5
After surgery, a patient is experiencing pain. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is to assess the patient's pain using a pain scale. This is the priority action because it allows the nurse to obtain an objective measure of the patient's pain intensity. By accurately assessing the pain level, the nurse can determine the appropriate intervention, which may include administering pain medication as prescribed (choice
A) or offering non-pharmacological pain relief methods (choice
C). Reassessing the patient's pain level after 30 minutes (choice
D) is important but comes after the initial assessment to evaluate the effectiveness of the interventions implemented.
Question 2 of 5
A patient has an ankle restraint applied. Upon assessment, the nurse finds the toes a light blue color. Which action will the nurse take next?
Correct Answer: D
Rationale: The correct answer is to remove the restraint (
Choice
D). Cyanosis of the toes, indicated by a light blue color, suggests impaired circulation. The priority action is to ensure proper circulation by removing the restraint to prevent further compromise.
Choices A and B are not the immediate actions needed for cyanosis related to impaired circulation.
Choice C, placing a blanket over the feet, does not address the underlying issue of impaired circulation and could delay appropriate intervention.
Question 3 of 5
A client is undergoing chemotherapy and expresses concern about hair loss. What is the best response?
Correct Answer: D
Rationale: The best response when a client undergoing chemotherapy expresses concern about hair loss is to advise them that chemotherapy causes temporary hair loss. This response provides accurate information to the client about the side effect they are experiencing.
Choice A is incorrect because it may provide false reassurance as for some individuals, hair loss can be a challenging experience.
Choice B is not the best initial response as addressing the client's concerns and providing information should come first.
Choice C is not the most appropriate response as cutting hair short may not necessarily prevent hair loss and does not address the client's concerns about the temporary nature of chemotherapy-induced hair loss.
Question 4 of 5
The nurse is caring for a patient who is at risk for infection. Which action by the nurse indicates correct understanding about standard precautions?
Correct Answer: C
Rationale: The correct understanding of standard precautions includes wearing appropriate personal protective equipment to prevent exposure to body fluids. Wearing eyewear when emptying the urinary drainage bag is crucial as it protects the nurse's eyes from potential splashes of body fluids. Teaching the patient about good nutrition (
Choice
A) is important for overall health but is not directly related to standard precautions. Disposing of an uncapped needle correctly (
Choice
B) is part of safe needle handling but does not specifically relate to standard precautions. Donning gloves when wearing artificial nails (
Choice
D) is not a correct understanding of standard precautions, as artificial nails can harbor microorganisms and increase the risk of infection transmission.
Question 5 of 5
Which patient should the nurse see first?
Correct Answer: B
Rationale: The correct answer is B because the patient with oxygen and a lighter on the bedside table is at immediate risk of fire. Oxygen promotes combustion, and having a lighter nearby poses a serious safety hazard. This situation requires urgent attention to prevent a potential disaster.
Choices A, C, and D do not present immediate life-threatening risks compared to the patient with oxygen and a lighter nearby.