ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A Questions
Question 1 of 5
What are the key considerations when administering medication via a nasogastric (NG) tube?
Correct Answer: A
Rationale: The correct answer is A: Checking tube placement before administration. This is a crucial step to ensure that the medication reaches the stomach safely and does not end up in the lungs, which can lead to serious complications. Choice B is incorrect as not all medications can be administered in liquid form. Choice C is incorrect because crushing tablets can alter their effectiveness or cause harm. Choice D is incorrect as flushing the NG tube with water is not a standard practice before administering medication, unless specified by healthcare provider instructions.
Question 2 of 5
A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?
Correct Answer: B
Rationale: Involving partners in care planning is a quality improvement strategy that aligns with QSEN principles. This choice reflects patient-centered care and collaboration, which are essential elements of quality improvement. Choices A, C, and D do not directly relate to quality improvement concepts. Tracking discharge times, logging out of computers, and providing change-of-shift reports are important practices but not specifically focused on quality improvement.
Question 3 of 5
A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation?
Correct Answer: D
Rationale: The correct answer is D. Emailing client information through an unencrypted server is a HIPAA violation because it can lead to data breaches. Choices A, B, and C do not violate HIPAA. Posting the name of the nurse providing care on a client's communication board does not disclose sensitive health information. Discussing the client's new medication with a hospital pharmacist is a routine healthcare practice. Faxing requested medical information for a client who is transferring to another facility is a secure way to transmit healthcare data.
Question 4 of 5
A nurse enters a client's room and finds the client pulseless. The client's living will requests no resuscitation be performed, but the provider has not written the prescription. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take in this situation is to begin CPR. In the absence of a written DNR order by the provider, the nurse is ethically and legally obligated to initiate CPR to attempt to save the client's life. Administering emergency medications without CPR (Choice A) may not address the immediate need for life-saving measures. Calling the provider for a DNR order (Choice C) may cause a delay in providing necessary resuscitative measures. Respecting the client's wishes and not attempting CPR (Choice D) goes against the nurse's duty to provide immediate life-saving interventions in the absence of a DNR order.
Question 5 of 5
An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment?
Correct Answer: B
Rationale: In this scenario, the correct answer is option B: Limit the amount of time workers spend in temperatures over 43.3°C (110°F). This intervention addresses physical agents in the environment by focusing on controlling an environmental stressor directly, which is high temperature in this case. Excessive heat can lead to heat-related illnesses and reduce worker productivity and safety. By setting a limit on exposure to high temperatures, the nurse can effectively reduce the risk of heat-related health issues among employees. Option A, teaching workers to choose personal strategies to cope with work stress, does not directly address physical agents in the environment but rather focuses on psychological stressors. While stress management is important, it does not specifically target physical environmental stressors like high temperatures. Option C, providing ear plugs for use at workstations throughout the factory, addresses noise pollution rather than physical agents like temperature. While reducing noise levels is beneficial for employee well-being, it does not target physical stressors like extreme heat. Option D, obtaining dosimeters for employees to wear when using new machinery that emits radiation, addresses radiation exposure, which is a different type of physical agent than high temperatures. While monitoring radiation exposure is crucial, it does not directly relate to the environmental stressor of excessive heat in the workplace. In an educational context, understanding how to identify and address specific environmental stressors is crucial for occupational health nurses to create a safe and healthy work environment for employees. By implementing targeted interventions like controlling exposure to high temperatures, nurses can effectively mitigate the risks associated with physical stressors in the workplace.