ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Question 1 of 5
A client with pneumonia is receiving oxygen therapy. Which of the following oxygen delivery devices should be used to deliver a precise oxygen concentration?
Correct Answer: C
Rationale: A Venturi mask should be used to deliver a precise oxygen concentration to a client with pneumonia. Venturi masks are designed to deliver a specific oxygen concentration by mixing oxygen with room air in a precise ratio. This device is ideal for patients who require accurate oxygen delivery, such as those with chronic lung diseases. Nasal cannulas deliver a lower concentration of oxygen and are more suitable for patients with mild respiratory issues. Simple face masks and non-rebreather masks do not provide as precise control over the oxygen concentration as a Venturi mask.
Question 2 of 5
A patient receiving chemotherapy has developed neutropenia. What should be included in the care plan to reduce infection risk?
Correct Answer: D
Rationale: When a patient receiving chemotherapy develops neutropenia, the priority is to reduce the risk of infection. Using reverse isolation precautions is crucial in this situation to protect the patient from exposure to pathogens. Monitoring temperature daily (Choice A) is important but is not as effective as isolating the patient. Limiting visitors (Choice B) can help reduce the risk of exposure, but reverse isolation is a more stringent measure. Administering antibiotics prophylactically (Choice C) is not recommended unless there is a specific indication, as it can contribute to antibiotic resistance.
Question 3 of 5
A client has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance. What should the nurse instruct the client?
Correct Answer: C
Rationale: The correct answer is to instruct the client to gargle with water after each use of the beclomethasone inhaler. Beclomethasone can cause oral thrush, and gargling with water helps prevent this complication. Choice A is incorrect because the client should not skip doses even if breathing improves, as the medications are prescribed for maintenance. Choice B is incorrect as there is no specific instruction to use the albuterol inhaler first in this scenario. Choice D is incorrect because inhalers should not be stored in the refrigerator unless specified by the manufacturer.
Question 4 of 5
A nurse is assessing a client who has heart failure and is taking digoxin. The nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Vomiting. Vomiting is a common sign of digoxin toxicity and should be reported to the healthcare provider. Diarrhea (Choice A) is a more common side effect of digoxin but not typically associated with toxicity. Ringing in the ears (Choice C) is a potential sign of toxicity; however, vomiting is a more immediate concern. Dizziness (Choice D) can occur with digoxin use but is not a specific indicator of toxicity.
Question 5 of 5
When teaching a patient with a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions?
Correct Answer: C
Rationale: The correct answer is C. When using brimonidine to treat open-angle glaucoma, patients may experience temporary irritation in the eyes. Choice A is incorrect because vision improvement from brimonidine is not immediate. Choice B is incorrect as brimonidine should be used as prescribed, not just when eyes are irritated. Choice D is important but does not directly indicate an understanding of the medication's use.