ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Question 1 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: The correct answer is C: Frequent swallowing. This finding is the priority because it could indicate bleeding after a tonsillectomy, which is a potential complication requiring immediate intervention to prevent further complications like hemorrhage. Blood-tinged mucus (
B) and dark brown emesis (
D) are concerning but not as urgent as frequent swallowing. A sore throat (
A) is expected postoperatively and can be managed with pain medication. Other choices are not provided but would likely be less critical than monitoring for bleeding.
Question 2 of 5
A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Herpes zoster. Older adults are at higher risk for developing shingles, caused by the varicella-zoster virus. The herpes zoster vaccine helps prevent shingles and its complications in this age group. Option B (DTaP) is usually given to children, not older adults. Option C (HPV) primarily targets younger individuals for prevention of cervical cancer. Option D (Rotavirus) is given to infants to prevent severe diarrhea. Vaccine options E, F, and G are not provided in the question. In summary, the herpes zoster vaccine is recommended for older adults due to their increased risk of shingles, making it the most appropriate choice among the options provided.
Question 3 of 5
A nurse is caring for a client who has Crohn's disease. The nurse calculates that the client's BMI is 17.2. The nurse should document the client's weight status as being within which of the following categories?
Correct Answer: C
Rationale:
Rationale: A BMI of 17.2 falls below the healthy weight range (18.5-24.9).
Therefore, the correct answer is C: Underweight. This categorization is based on the BMI calculation, which indicates the client is below the normal weight range. The other choices are incorrect because an individual with a BMI of 17.2 would not be considered in the healthy weight, overweight, or obese categories.
Question 4 of 5
A nurse in an acute mental health facility is teaching a client about the potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might feel lightheaded, but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Veracity. Veracity pertains to truthfulness and honesty in communication. In this scenario, the nurse is being truthful by informing the client about the potential side effect of feeling lightheaded from transcranial magnetic stimulation and reassuring him that it should not affect his memory. This demonstrates the ethical principle of veracity as the nurse is providing accurate information to the client.
Choice A, Beneficence, is about promoting the client's well-being, which is not the focus of the nurse's action in this scenario.
Choice B, Fidelity, relates to keeping promises and being trustworthy, which is not the primary ethical principle being demonstrated.
Choice C, Autonomy, involves respecting the client's right to make decisions about their own health care, which is not explicitly demonstrated in this scenario.
Question 5 of 5
A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action to take first in the scenario described is to activate the fire alarm system (choice
B). This is because activating the fire alarm system will immediately alert everyone in the facility to the potential danger, allowing for a quick and organized evacuation if necessary. Closing doors and windows (choice
A) may contain the smoke temporarily but does not address the potential fire hazard. Using a fire extinguisher (choice
C) should only be done if it is safe to do so and after the fire alarm has been activated. Evacuating clients (choice
D) is important but should be done after the fire alarm has been activated to ensure everyone is aware of the situation.