ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A Questions
Question 1 of 5
A nurse is assessing a postoperative patient for signs of infection. Which finding is most concerning?
Correct Answer: C
Rationale: A fever of 101°F is the most concerning finding when assessing a postoperative patient for signs of infection. Fever can indicate an inflammatory response to an infection, and in a postoperative patient, it can signal a surgical site infection or a systemic infection. Prompt attention is necessary to prevent complications such as sepsis. Mild redness at the incision site and increased drainage can be expected in the early postoperative period due to the normal healing process. A normal white blood cell count does not rule out infection as it can be influenced by various factors, and some infections may not initially cause a rise in white blood cells.
Question 2 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.
Question 3 of 5
A client complains of pain in their leg, and the nurse notes swelling and pallor. What is the priority nursing action?
Correct Answer: D
Rationale: The correct answer is D: Notify the provider immediately about the symptoms. Swelling and pallor in a limb can be indicative of serious circulatory issues or compartment syndrome. It is crucial to inform the healthcare provider promptly to assess and address the situation. Administering pain medication (choice
A) may temporarily alleviate the symptoms but does not address the underlying cause. Elevating the limb and monitoring closely (choice
B) can be beneficial but does not replace the need for immediate professional evaluation. Encouraging movement to reduce swelling (choice
C) is contraindicated in this scenario as it may worsen the condition if a circulatory issue or compartment syndrome is present.
Question 4 of 5
Which principle is most important for maintaining medical asepsis in a healthcare setting?
Correct Answer: D
Rationale: The correct answer is D: Clean hands thoroughly before and after patient contact. Hand hygiene is crucial for maintaining medical asepsis in a healthcare setting as it helps prevent the spread of infections between patients and healthcare workers.
Choice A is incorrect because instruments should be sterilized regularly, not just when visibly contaminated.
Choice B is incorrect as sterile gloves are not required for all patient interactions, only for specific procedures.
Choice C is incorrect because patient areas should be disinfected regularly throughout the day, not just at the end of the day.
Question 5 of 5
When the nurse discovers a patient on the floor, and the patient states, 'I fell out of bed,' the nurse assesses the patient and then places the patient back in bed. What action should the nurse take next?
Correct Answer: C
Rationale: After a patient has fallen, it is crucial to notify the healthcare provider. The provider needs to be informed so that further assessment, evaluation, or intervention can be carried out to ensure the patient's safety and well-being. Re-assessing the patient (
Choice
A) is important but notifying the healthcare provider takes precedence. Completing an incident report (
Choice
B) is necessary but should follow notifying the healthcare provider. Doing nothing (
Choice
D) is not appropriate as patient safety and potential underlying issues need to be addressed promptly.