ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?
Correct Answer: Rotavirus vaccine is given at 2 months. Hepatitis A, influenza, and varicella are for older ages.
Rationale:
Question 2 of 5
A charge nurse is observing assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?
Correct Answer: Alcohol-based rubs are ineffective against C. difficile; soap and water are required. Other actions are within AP scope.
Rationale:
Question 3 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 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: Evacuating clients ensures their safety, the top priority in a fire. Alarms, extinguishers, and containment follow.
Rationale:
Question 5 of 5
A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?
Correct Answer: Fever may indicate infection, a serious concern with clozapine due to the risk of agranulocytosis. Diaphoresis, polyuria, and diarrhea are less urgent but should be monitored.
Rationale: