ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: Different-shaped lids help with medication adherence for vision loss. Rugs are hazardous, and monthly visits are insufficient.
Question 2 of 5
A nurse is planning postoperative care for a client who is having a thoracotomy with a chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: C
Rationale: A padded clamp assesses chest tube patency or air leaks. Wire cutters, tracheostomy trays, and sandbags are not relevant for chest tube management.
Question 3 of 5
A nurse is caring for a client who has a three-chamber chest tube system. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maintaining 2 cm water in the seal chamber prevents air entry. Emptying chambers, frequent patency checks, and raising the system are incorrect.
Question 4 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Frequent swallowing is the priority because it may indicate active bleeding at the surgical site, which could lead to hemorrhage and airway compromise. Sore throat and blood-tinged mucus are expected, while dark brown emesis suggests old blood and is less urgent.
Question 5 of 5
A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant. Which of the following interventions should the nurse add to the client's plan of care?
Correct Answer: B
Rationale: Instructing family to stay 1 m away minimizes radiation exposure. Removing linens, strict bed rest, and 2-hour visits are incorrect.