ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse in an acute mental health facility is teaching a client about the potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might feel lightheaded, but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles?
Correct Answer: D
Rationale: The correct answer is D: Veracity. Veracity pertains to truthfulness and honesty in communication. In this scenario, the nurse is being truthful by informing the client about the potential side effect of feeling lightheaded from transcranial magnetic stimulation and reassuring him that it should not affect his memory. This demonstrates the ethical principle of veracity as the nurse is providing accurate information to the client.
Choice A, Beneficence, is about promoting the client's well-being, which is not the focus of the nurse's action in this scenario.
Choice B, Fidelity, relates to keeping promises and being trustworthy, which is not the primary ethical principle being demonstrated.
Choice C, Autonomy, involves respecting the client's right to make decisions about their own health care, which is not explicitly demonstrated in this scenario.
Question 2 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: B
Rationale: The correct action to take first in the scenario described is to activate the fire alarm system (choice
B). This is because activating the fire alarm system will immediately alert everyone in the facility to the potential danger, allowing for a quick and organized evacuation if necessary. Closing doors and windows (choice
A) may contain the smoke temporarily but does not address the potential fire hazard. Using a fire extinguisher (choice
C) should only be done if it is safe to do so and after the fire alarm has been activated. Evacuating clients (choice
D) is important but should be done after the fire alarm has been activated to ensure everyone is aware of the situation.
Question 3 of 5
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Position the client with her knees flexed and legs apart. This should be done first to provide proper access to the urethral meatus for catheter insertion. Flexing the knees and spreading the legs helps relax the pelvic muscles and facilitates the insertion process. Cleansing the meatus (choice
C) should be done after positioning the client. Lubricating the catheter (choice
A) comes after the meatus is cleansed. Attaching a prefilled syringe (choice
B) is the final step after the catheter is inserted.
Question 4 of 5
A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The statement "I know the provider will replace the lens in my eyes during this procedure" indicates an understanding of cataract removal, which involves replacing the cloudy lens with an artificial one. This statement shows the client is aware of the main objective of the surgery, highlighting comprehension of the procedure.
Summary:
A: Incorrect - Eyelid bruising is a common side effect of cataract surgery, but it does not demonstrate understanding of the main procedure.
C: Incorrect - Seeing dark spots in vision after cataract surgery is not an expected outcome and does not indicate understanding.
D: Incorrect - The type of anesthesia used for cataract surgery varies, and general anesthesia is not always necessary. This statement does not show understanding of the procedure.
Question 5 of 5
A nurse on a medical-surgical unit is accepting a telephone prescription for a client who requires medication for insomnia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Repeating the complete prescription back to the provider ensures accuracy and prevents errors in transcription. This step verifies understanding and allows the provider to confirm the details.
Choice B involves unnecessary steps as the prescription is over the phone.
Choice C involves a non-clinical staff in a clinical task.
Choice D is important but comes after confirming with the provider.