ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?
Correct Answer: C
Rationale: The correct answer is C: Use a product with DEET on your skin and clothes when you are walking in a wooded area. This statement is important because DEET is an effective insect repellent that can help prevent tick bites, which are the primary mode of transmission for Lyme disease. Using DEET can reduce the risk of getting infected.
Choice A is incorrect because symptoms of Lyme disease typically appear 3 to 30 days after a tick bite, not 2 days.
Choice B is incorrect because testing for Lyme disease should occur if symptoms develop, not within a specific timeframe.
Choice D is incorrect because squeezing an embedded tick with tweezers can lead to the tick's body being crushed and increase the risk of disease transmission.
Question 2 of 5
A nurse is reviewing a client’s laboratory results prior to administering medications. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: SpO2 88%. This finding indicates low oxygen saturation levels, which can be life-threatening and require immediate medical attention. Oxygen saturation below 90% is considered critically low and can lead to hypoxemia. Reporting this to the provider promptly is crucial to ensure appropriate interventions are implemented to improve oxygenation.
A: Temperature within normal range.
B: Respiratory rate slightly elevated but not critical.
D: pH slightly low but not immediately life-threatening.
Question 3 of 5
A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic ileus?
Correct Answer: D
Rationale: The correct answer is D: Abdominal distention. Paralytic ileus is a temporary lack of movement in the intestines that can occur after surgery. Abdominal distention is a common sign of paralytic ileus due to the buildup of gas and fluid in the intestines. Watery stool (
A) is not indicative of paralytic ileus as it suggests normal bowel function. Oliguria (
B) refers to decreased urine output and is not directly related to paralytic ileus. Dizziness (
C) is a nonspecific symptom and not typically associated with paralytic ileus.
Question 4 of 5
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Select a site proximal to previous venipuncture sites. This is important to prevent complications such as phlebitis and infiltration. Choosing a site proximal to previous punctures allows for better vein integrity and minimizes the risk of injury. Options A and B are incorrect as they do not address potential complications or best practices for IV insertion. Option D is incorrect since using a larger gauge catheter can actually increase the risk of phlebitis. Option E, F, and G are not provided. In summary, selecting a site proximal to previous venipuncture sites is crucial for successful IV therapy and minimizing complications.
Question 5 of 5
A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Droplet precautions. Bacterial meningitis is primarily transmitted through respiratory droplets. By initiating droplet precautions, the nurse can prevent the spread of the infection to others. Protective environment (
A) is used for clients with compromised immune systems. Airborne (
B) precautions are for diseases like tuberculosis spread through the air. Contact (
D) precautions are for direct contact with the client or their environment.