ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Question 1 of 5
A nurse is ordering a breakfast meal tray for a client who has dysphagia and a prescription for a mechanically altered diet. Which of the following foods should the nurse select?
Correct Answer: C
Rationale: The correct answer is C: Pancakes with syrup. For a client with dysphagia on a mechanically altered diet, the nurse should select soft, moist foods that are easy to swallow and digest. Pancakes can be modified to be soft and moist, making them suitable for the client's condition. Yogurt and granola (
A) may pose a choking risk due to the granola's texture. Wheat toast with butter (
B) and banana nut muffin (
D) are dry and may be difficult to swallow for someone with dysphagia. Syrup can help moisten the pancakes making them easier to swallow compared to the other options.
Question 2 of 5
A nurse is implementing crisis intervention for a client following an incident of partner violence. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Initiate precautions to safeguard the client from physical harm. This is the priority action because ensuring the client's safety is paramount in crisis intervention. By taking precautions to safeguard the client from physical harm, the nurse addresses the immediate risk of harm and creates a secure environment for further interventions.
Choice A: Helping the client identify effective coping skills is important, but physical safety takes precedence in a crisis situation.
Choice C: Identifying support systems is valuable, but ensuring physical safety is more urgent.
Choice D: Encouraging the client to express feelings is essential, but safety concerns must be addressed first in cases of partner violence.
In summary, the nurse should prioritize safeguarding the client from physical harm to establish a foundation for further support and interventions.
Question 3 of 5
A nurse is caring for a client who has a three-chamber chest tube system. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Ensure 2 cm (0.8 in) of water is in the water seal chamber. This is important to create a seal that prevents air from entering the pleural space. If the water level is too high or too low, it can affect the functioning of the chest tube system.
Choice B is incorrect as checking tubing patency every 2 hours is not necessary unless there are signs of blockage or decreased drainage.
Choice C is incorrect as the drainage system should be kept below the level of the client's chest to facilitate drainage by gravity.
Choice D is incorrect as the collection chamber should be emptied as needed based on the amount of drainage, not on a fixed time schedule.
Question 4 of 5
A nurse is evaluating the progress of a school-age child who takes methylphenidate. Which of the following findings indicates the effectiveness of the medication?
Correct Answer: A
Rationale: The correct answer is A: Decreased impulsiveness. Methylphenidate is commonly used to treat ADHD by improving focus and reducing impulsivity. Decreased impulsiveness indicates that the medication is effectively managing the symptoms. B, C, and D are incorrect as they are not directly related to the expected outcomes of methylphenidate therapy. Decreased abdominal pain (
B) and increased appetite (
C) are not typical indicators of methylphenidate effectiveness, and increased urine output (
D) is not a common side effect or indicator of its therapeutic effect.
Question 5 of 5
A nurse is assessing a client who is 2 days postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Small clots with tissue in the urine. After a transurethral resection of the prostate, it is common to see small clots with tissue in the urine due to the trauma caused by the procedure. This finding is expected as the body heals postoperatively.
Incorrect Answers:
B: Dark red urine would indicate active bleeding, which is not a normal finding in this situation.
C: Urinary output of 25 mL/hr is below the normal range and may indicate inadequate hydration or potential kidney issues, not a typical finding postoperatively.
D: Pain of 8 on a scale of 0 to 10 is a high level of pain and should be addressed promptly, but it is not a typical finding associated with this specific postoperative period.