ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action to take first in the scenario described is to activate the fire alarm system (choice
B). This is because activating the fire alarm system will immediately alert everyone in the facility to the potential danger, allowing for a quick and organized evacuation if necessary. Closing doors and windows (choice
A) may contain the smoke temporarily but does not address the potential fire hazard. Using a fire extinguisher (choice
C) should only be done if it is safe to do so and after the fire alarm has been activated. Evacuating clients (choice
D) is important but should be done after the fire alarm has been activated to ensure everyone is aware of the situation.
Question 2 of 5
A nurse is providing discharge teaching to a client who is 1 day postoperative following a right modified radical mastectomy. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Begin ball squeezing exercises. This helps prevent lymphedema by promoting lymphatic drainage. B: Avoid using the affected arm for eating is incorrect as it's important to gradually resume normal activities. C: Using deodorant under the affected arm can cause irritation or infection in the surgical site. D: Wearing a bra with wire support can cause discomfort and restrict lymphatic flow. It is vital to prioritize exercises that promote lymphatic drainage to prevent complications.
Question 3 of 5
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Observe the client for 1 hr after meals. This is important in monitoring for signs of purging behaviors, such as vomiting or excessive exercise, common in anorexia nervosa. Weighing the client every 48 hr (
A) may trigger anxiety. Allowing the client to eat meals in their room (
B) may enable secretive behaviors. Obtaining vital signs every other day (
D) is important but does not address immediate post-meal monitoring.
Question 4 of 5
A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action to take first in the scenario described is to activate the fire alarm system (choice
B). This is because activating the fire alarm system will immediately alert everyone in the facility to the potential danger, allowing for a quick and organized evacuation if necessary. Closing doors and windows (choice
A) may contain the smoke temporarily but does not address the potential fire hazard. Using a fire extinguisher (choice
C) should only be done if it is safe to do so and after the fire alarm has been activated. Evacuating clients (choice
D) is important but should be done after the fire alarm has been activated to ensure everyone is aware of the situation.
Question 5 of 5
A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Lead 18 mcg/dL. Elevated lead levels in infants can lead to developmental delays and neurocognitive impairments. Lead poisoning is a serious concern, and any detectable lead levels should be reported to the provider for further evaluation and intervention.
Choices A, B, and D are within normal ranges for a 9-month-old infant and do not raise immediate concerns. Reporting these values would not be necessary.