ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Question 1 of 5
A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client's calcium level is 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Muscle twitching. In hypothyroidism, low thyroid hormone levels can lead to hypocalcemia, causing muscle twitching due to increased neuromuscular excitability. B: Hypertension is not typically associated with hypothyroidism. C: Bounding pulse is more indicative of hyperthyroidism. D: Hypoactive bowel sounds are not directly related to hypothyroidism.
Question 2 of 5
A nurse is reviewing laboratory data for a client who has a new prescription for valproic acid. Which of the following baseline results should the nurse review prior to administering the first dose of the medication?
Correct Answer: D
Rationale: The correct answer is D: Liver function tests. Valproic acid is known to potentially cause liver toxicity.
Therefore, reviewing liver function tests before administering the medication is crucial to assess the baseline liver function and monitor for any potential adverse effects.
A: Potassium level - not directly related to valproic acid administration.
B: Thyroid function tests - not necessary for assessing the safety of starting valproic acid.
C: Uric acid level - not directly related to valproic acid administration.
Question 3 of 5
A nurse is preparing to administer naloxone IV bolus to a client who has opioid use disorder and has developed acute opioid toxicity. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Check the client's vital signs every 15 min. This is crucial because naloxone can cause rapid reversal of opioid effects, leading to potential adverse reactions such as hypertension, tachycardia, and pulmonary edema. Monitoring vital signs frequently allows the nurse to promptly identify and manage these complications.
Choice B is incorrect because giving naloxone slowly for 15 seconds may delay the onset of action and compromise the client's safety in cases of opioid toxicity.
Choice C is incorrect as the onset of naloxone typically occurs within minutes, not 15 minutes.
Choice D is incorrect as the effects of naloxone are short-acting and do not last for 24 hours.
Question 4 of 5
A nurse is verifying how a client who is postpartum will use a car seat for her newborn. Which of the following statements should the nurse identify as an indication that the client understands the safe use of a car seat?
Correct Answer: A
Rationale: The correct answer is A: "I'll place him in the back seat facing the back seat." This is the correct choice because placing the newborn in the back seat facing the back seat is the safest position as recommended by car seat safety guidelines. Placing the newborn in the front seat (choices B and
D) is dangerous due to the presence of airbags, which can cause harm to the baby in case of an accident.
Choice C is incorrect as placing the baby facing the back of the front seat is not a recommended position.
Therefore, choice A is the safest option for the newborn's well-being during car travel.
Question 5 of 5
A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?
Correct Answer: D
Rationale: The correct answer is D. When a client has a peripherally inserted central catheter (PIC
C) in the right arm, blood pressure should not be taken on that side to avoid potential damage to the catheter or disrupting the infusion. It is crucial to protect the integrity and function of the PICC line by avoiding any procedures that could cause harm.
Choice A is incorrect because a right hemisphere stroke does not necessitate avoiding blood pressure measurements on the right arm.
Choice B is incorrect as using an arteriovenous shunt in the left lower forearm does not mandate avoiding blood pressure measurements on the right arm.
Choice C is incorrect because having blood drawn from the antecubital area does not impact blood pressure measurements on the contralateral arm.
In summary, the correct answer, D, is based on the need to protect the PICC line, while the other choices do not present a valid reason for avoiding blood pressure measurements on the right arm.