ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse in a provider's office is talking with an older adult client who tells the nurse that they fear they are 'aging badly' and feel 'so useless.' Which of the following assessment questions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: "Do you ever think about harming yourself?" This question is the priority because it assesses the client's immediate safety and risk of harm. The client's statements indicate feelings of worthlessness and fear of aging badly, which can be associated with depression and suicidal ideation in older adults. By asking about thoughts of self-harm, the nurse can identify if the client is at risk and take appropriate actions to ensure their safety.
Choice A (Did anything in particular make you feel this way?) is not the priority because it focuses on the cause rather than the client's safety.
Choice B (Would you tell me more about the changes you see in your body?) is also not the priority as it does not address the client's emotional distress.
Choice D (How long have you had these feelings of uselessness?) is important but not as urgent as assessing for suicidal thoughts.
Question 2 of 5
A nurse performs a capillary blood glucose check for a client who has type 1 diabetes mellitus and obtains a reading of 64 mg/dL on the glucometer. Which of the following assessment findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Nervousness. A blood glucose level of 64 mg/dL indicates hypoglycemia in a client with type 1 diabetes. Nervousness is a common symptom of hypoglycemia due to the body's stress response to low blood sugar. Tachypnea (choice
A) is more likely to be seen in diabetic ketoacidosis. Ketonuria (choice
B) is a sign of hyperglycemia and ketosis, not hypoglycemia. Warm skin (choice
C) is not specific to any particular blood glucose level.
Therefore, the nurse should expect the client to display nervousness as a result of the low blood glucose level.
Question 3 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: B
Rationale: The correct answer is B: Fever. Fever is a potentially serious side effect of clozapine and can indicate a condition called agranulocytosis, which is a severe drop in white blood cell count. This condition can be life-threatening and requires immediate medical attention. Polyuria (choice
A) is not directly associated with clozapine. Diarrhea (choice
C) and diaphoresis (choice
D) are common side effects of clozapine but are not as concerning as fever.
Question 4 of 5
A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply the patch prior to traveling. This is because transdermal scopolamine needs time to take effect before exposure to motion sickness triggers. Storing patches in the refrigerator (
A) is unnecessary and may affect the patch's efficacy. Placing the patch on the upper arm (
C) is incorrect as it should be applied behind the ear. Replacing a dislodged patch onto the same location (
D) is wrong because it may have lost its effectiveness.
Question 5 of 5
A nurse is providing teaching to a group of clients about complementary and alternative therapies using herbs. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A - "I can use chamomile tea to promote sleep"
Rationale: Chamomile is known for its calming properties and can help promote relaxation and improve sleep quality. This statement shows an understanding of using herbs for specific purposes, aligning with complementary and alternative therapies.
Summary of Incorrect
Choices:
B: Herbal medicines can interact with conventional medications, leading to potential adverse effects.
C: While ginger can help with nausea and inflammation, it is not typically used for headaches.
D: Herbal medicines are not regulated by the FDA, which can lead to variations in quality and safety.