ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A 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: C
Rationale: The correct answer is C: Herpes zoster. Older adults are at increased risk for shingles caused by the varicella-zoster virus. The herpes zoster vaccine can help prevent shingles and its complications. Rotavirus (
A) is typically given to infants, HPV (
B) is recommended for younger individuals to prevent certain cancers, and DTaP (
D) is more relevant for children to protect against diphtheria, tetanus, and pertussis. Vaccination choices need to be tailored to the specific age group and risk factors.
Question 2 of 5
A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will position my baby at a 45-degree angle in the car seat." This response indicates understanding of car seat safety for newborns. Newborns should be positioned at a 45-degree angle to prevent their head from flopping forward and compromising their airway. Placing the baby at this angle helps maintain an open airway and ensures proper breathing.
Choice A is incorrect because rear-facing car seats are recommended until at least age 2.
Choice B is incorrect because the retainer clip should be positioned at armpit level.
Choice C is incorrect because shoulder harness straps should be at or below the baby's shoulders for proper fit.
Question 3 of 5
A nurse is assessing a client who has a calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Muscle twitching. A calcium level of 7.6 mg/dL indicates hypocalcemia, which can lead to neuromuscular irritability and muscle twitching. Calcium is essential for muscle contraction, and low levels can result in increased neuromuscular excitability. Hypertension (choice
A) is not typically associated with low calcium levels. Bounding pulse (choice
C) is more indicative of conditions like hyperthyroidism or anemia. Increased urine output (choice
D) is not a common manifestation of hypocalcemia.
Question 4 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Place the client leaning forward over the overbed table. This position helps to expand the intercostal spaces, making it easier to access and aspirate the pleural fluid during thoracentesis. It also reduces the risk of puncturing the diaphragm. A: Scheduling an MRI after the procedure is unnecessary and not related to thoracentesis. C: Encouraging the client to take deep breaths during the procedure is incorrect as it can cause movement and make the procedure more challenging. D: Ensuring the client has been NPO for 6 hours is irrelevant to thoracentesis and not necessary for this procedure.
Question 5 of 5
A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: B
Rationale: The correct answer is B: Padded clamp. This equipment is necessary for managing the chest tube, which helps drain air or fluid from the pleural space after a thoracotomy. The padded clamp is used to temporarily occlude the tube during dressing changes or when the system needs to be disconnected. Wire cutters (
A) are not typically needed for chest tube care. Montgomery straps (
C) are used for securing dressings, not for chest tube management. Tracheostomy tray (
D) is unrelated to thoracotomy care.