RN ATI Capstone Proctored Comprehensive Assessment Form A - Nurselytic

Questions 65

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RN ATI Capstone Proctored Comprehensive Assessment Form A Questions

Question 1 of 5

A nurse is teaching an older adult client who has left-sided weakness about cane use. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The correct instruction for a client with left-sided weakness using a cane is to move the left foot forward first. This technique helps improve stability and safety by ensuring weight-bearing on the stronger side while providing support with the cane.
Choice A is incorrect because the cane should be held on the stronger side, which is the right side in this case.
Choice B is incorrect as the recommended distance to move the cane forward with each step is about 6 inches, not 18 inches.
Choice D is incorrect as it is essential to maintain a slight bend in the elbow while using the cane to absorb shock and provide flexibility.

Question 2 of 5

A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements indicates an understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C. Warfarin therapy requires regular blood testing to monitor INR levels and ensure therapeutic dosing. Option A is incorrect because acetaminophen can be taken with warfarin. Option B is not specific to warfarin administration. Option D is incorrect as it does not address the key monitoring requirement of blood testing while on warfarin.

Question 3 of 5

A healthcare professional is assessing a client who has a hip fracture. Which of the following findings should the healthcare professional expect?

Correct Answer: C

Rationale: Muscle spasms are a common finding in clients with hip fractures. The muscle spasms occur due to the body's natural response to the injury, causing involuntary contractions. Hip pallor (
Choice
A) is not typically associated with hip fractures. Leg abduction (
Choice
B) and leg lengthening (
Choice
D) are not typical findings in clients with hip fractures, as the fracture usually results in limited range of motion and shortening of the affected limb.

Question 4 of 5

What are the instructions for a behind-the-ear hearing aid?

Correct Answer: B

Rationale: The correct answer is to remove a behind-the-ear hearing aid before showering to prevent water damage.
Choice A is incorrect because it is safe to wear the hearing aid while sleeping as it does not pose a risk of damage.
Choice C is incorrect because it is advisable to remove the hearing aid during certain activities to prevent damage or loss.
Choice D is incorrect as hearing aids do not need to be replaced weekly unless there is an issue with the device.

Question 5 of 5

A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer?

Correct Answer: B

Rationale: The correct answer is B: 2.
To achieve the prescribed dose of 0.25 mg of digoxin, the nurse should administer two 0.125 mg tablets. This calculation ensures that the patient receives the correct amount of medication.

Choices A, C, and D are incorrect because they do not reflect the accurate dosage needed based on the available tablets and prescribed dose.

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