ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A case manager is performing a home visit for a client following a stroke. The client's partner is providing care in the home. The client's partner states that she sometimes feels exhausted. Which of the following referrals should the case manager recommend for the caregiver?
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief for primary caregivers, allowing them to take a break and recharge. This is crucial for preventing caregiver burnout and ensuring the well-being of both the caregiver and the client. Referring the client's partner to respite care can help alleviate her feelings of exhaustion and provide much-needed support.
Choice B: Skilled nursing facility is not appropriate in this scenario as the client's partner is providing care at home and not seeking placement in a facility.
Choice C: Rehabilitation services are typically for the client who has had a stroke to improve function, not directly for the caregiver.
Choice D: Assisted living is a residential option for individuals who need assistance with activities of daily living, which is not relevant to the caregiver's need for respite.
In summary, respite care is the most suitable referral to address the caregiver's exhaustion and support her well-being while continuing to care for the client at home.
Question 2 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: A
Rationale: The correct answer is A: Placental abruption. Placental abruption is characterized by sudden, severe abdominal pain, vaginal bleeding, uterine contractions, low blood pressure, and a rigid abdomen. The abrupt separation of the placenta from the uterine wall can lead to severe maternal and fetal complications. The other choices are incorrect because: B. Amniotic fluid embolus presents with sudden respiratory distress and cardiovascular collapse; C. Placenta previa typically presents with painless vaginal bleeding; D. Uterine rupture may present with sudden abdominal pain but is usually associated with a previous cesarean birth or trauma.
Question 3 of 5
A nurse is caring for a client who states during a counseling session, 'I am sliding off a cliff.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You must be feeling very frightened right now." This response shows empathy and acknowledges the client's emotions without dismissing or minimizing them. It validates the client's feelings and helps build trust in the therapeutic relationship.
Choice A is invalidating and dismissive.
Choice B is overly simplistic and does not address the client's emotional state.
Choice C is a closed-ended question that does not directly address the client's immediate distress. Overall, choice D demonstrates active listening and provides a supportive response to the client's emotional disclosure.
Question 4 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 5 of 5
A nurse is assessing a client who is taking digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing digoxin toxicity?
Correct Answer: D
Rationale: The correct answer is D: Blurred vision indicates digoxin toxicity. Digoxin toxicity can cause visual disturbances, such as blurred or yellow-tinted vision. This is due to the drug's effects on the optic nerve. Tachycardia (
A) is not a common sign of digoxin toxicity; in fact, digoxin usually slows the heart rate. Hearing loss (
B) and insomnia (
C) are not typical symptoms of digoxin toxicity. Blurred vision is a key indicator of digoxin toxicity and should prompt immediate action to prevent further complications.