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RN ATI Capstone Proctored Comprehensive Assessment Form B Questions

Extract:


Question 1 of 5

A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?

Correct Answer: Herpes zoster (shingles) vaccine is recommended for older adults to prevent shingles. HPV, rotavirus, and DTaP are for younger populations.

Rationale:

Question 2 of 5

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?

Correct Answer: Symptoms like chills, headache, low-back pain, and chest tightness suggest an acute hemolytic reaction, often due to ABO incompatibility, requiring immediate intervention.

Rationale:

Question 3 of 5

While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?

Correct Answer: A high-pressure alarm indicates airway obstruction, often from secretions. Suctioning clears the airway. Tracheostomy, tightening connections, or checking for cuff leaks are not the priority.

Rationale:

Question 4 of 5

A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?

Correct Answer: Documenting the omission factually without blame is appropriate. Other options lack detail, assign blame, or include irrelevant information.

Rationale:

Question 5 of 5

A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?

Correct Answer: Acute epiglottitis with drooling indicates potential airway obstruction, a medical emergency requiring immediate assessment.

Rationale:

Similar Questions

A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?
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?

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