ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take?
Correct Answer: Observing post-meals monitors for refeeding syndrome. Vital signs and weights need more frequent checks, and eating in the room may increase isolation.
Rationale:
Question 2 of 5
A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a sitting position. Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension?
Correct Answer: Orthostatic hypotension is defined by a systolic blood pressure drop of 20 mm Hg or more upon standing. Increased heart rate, increased diastolic pressure, or palpitations are not specific to this condition.
Rationale:
Question 3 of 5
A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?
Correct Answer: Encouraging play with toys like a pounding board reduces anxiety. New routines, medical jargon, or assessments without parents may increase distress.
Rationale:
Question 4 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:
Question 5 of 5
A nurse is documenting admission data for a client on an acute care facility. Which of the following actions should the nurse take?
Correct Answer: Starting with a comprehensive data evaluation ensures accurate documentation. Summaries, living wills, and vital signs are secondary.
Rationale: