ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN Questions
Question 1 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: A
Rationale: Central cyanosis is best assessed by examining the oral mucosa, as it is a more reliable indicator compared to other areas like the conjunctivae, soles of the feet, and ear lobes. The oral mucosa reflects the oxygen saturation levels of the blood more accurately. Conjunctivae and ear lobes may show cyanosis, but they are not as reliable as the oral mucosa. The soles of the feet are not typically used to assess central cyanosis.
Question 2 of 5
A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?
Correct Answer: A
Rationale: The correct answer is A. Instructing the client to remain still once the gel pads are attached is crucial to obtaining accurate ECG readings. Choice B is incorrect as electrodes are typically placed on the chest, not the breast. Choice C is incorrect because the client should lie flat during an ECG, not sit up. Choice D is incorrect because the client should breathe normally, rather than holding their breath, throughout the procedure.
Question 3 of 5
A healthcare provider is assessing a client who has carpal tunnel syndrome. The provider should expect which of the following findings?
Correct Answer: C
Rationale: Phalen's sign is often positive in clients with carpal tunnel syndrome due to nerve compression. Chvostek's sign (Choice A) is related to hypocalcemia, cool extremities (Choice B) are not typically associated with carpal tunnel syndrome, and decreased radial pulse (Choice D) is not a common finding in carpal tunnel syndrome.
Question 4 of 5
A nurse is caring for a client who had a total thyroidectomy and has a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Tingling of the extremities. Tingling is a common symptom of hypocalcemia, which is expected with low calcium levels after a thyroidectomy. Option A, shortened QT intervals, is associated with hypercalcemia rather than hypocalcemia. Option B, hypoactive deep tendon reflexes, is not typically related to hypocalcemia. Option D, constipation, is not a common finding associated with low calcium levels.
Question 5 of 5
A client has a prescription for a clear liquid diet. Which of the following foods should the nurse allow the client to have?
Correct Answer: D
Rationale: In this scenario, the correct answer is option D, grape juice. A clear liquid diet is prescribed for clients who need easy-to-digest foods that leave little residue in the gastrointestinal tract. Grape juice is a suitable choice because it is clear and does not contain solid particles. Option A, lemon sherbet, contains solid particles from the frozen dessert, which may not be appropriate for a clear liquid diet. Option B, milkshake, is a thick liquid that contains dairy and solid particles, making it unsuitable for a clear liquid diet. Option C, vanilla ice cream, is a frozen dairy product with solid particles and is not considered a clear liquid. Educationally, understanding the components of different diet types is crucial for nurses when caring for patients with specific dietary requirements. It is essential for nurses to know the characteristics of a clear liquid diet to ensure that patients receive appropriate nutrition while meeting their medical needs. This knowledge helps in promoting patient safety and well-being during their recovery process.