ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is admitting a client to the medical-surgical unit. The Patient Self-Determination Act requires the nurse to perform which of the following actions during the admission process?
Correct Answer: A
Rationale: The correct answer is A: Document in the client's medical record if the client has advance directives. This is in line with the Patient Self-Determination Act, which requires healthcare providers to inform patients of their right to make decisions about their own medical care, including the right to have advance directives. By documenting this information in the client's medical record, the nurse ensures that the client's wishes regarding their medical care are known and respected.
Choice B is incorrect because the act does not require the nurse to ensure the client has an attorney for end-of-life documents.
Choice C is incorrect because providing end-of-life education is not mandated by the act unless requested by the client.
Choice D is incorrect because the act does not require the nurse to provide a list of eligible individuals who can serve as a health care proxy.
Question 2 of 5
A nurse is assessing a client who is in mechanical restraints after hitting a staff member. Which of the following findings indicates that the nurse should discontinue the restraints?
Correct Answer: C
Rationale: The correct answer is C: The client is able to calmly follow commands. This indicates that the client is able to control their behavior and is no longer a danger to themselves or others. Discontinuing restraints at this point is appropriate to promote the client's autonomy and dignity.
Choice A is incorrect as the duration of restraint alone does not determine when to discontinue.
Choice B, while important for understanding the client's behavior, does not directly indicate readiness to discontinue restraints.
Choice D is concerning and should be addressed but does not solely warrant discontinuation of restraints.
Question 3 of 5
A nurse is receiving change-of-shift report for four clients. For which of the following clients should the nurse initiate seizure precautions?
Correct Answer: B
Rationale: The correct answer is B: A child who has bacterial meningitis. Seizure precautions should be initiated for this client due to the risk of seizures associated with meningitis. Bacterial meningitis can lead to increased intracranial pressure, inflammation of the brain, and potential neurological complications, all of which can trigger seizures. Seizure precautions are necessary to prevent injury during a seizure episode.
Incorrect options:
A: An infant with respiratory syncytial virus does not typically require seizure precautions as RSV primarily affects the respiratory system.
C: An infant with hypertrophic pyloric stenosis may not be at immediate risk of seizures unless there are complications.
D: A child with Kawasaki disease typically does not present with seizures as a primary symptom.
Question 4 of 5
A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: White fish. White fish is a low-fat protein source that is gentle on the stomach and less likely to trigger acid reflux compared to other protein sources like red meat. It is also less acidic, making it a suitable choice for someone with GERD. Decaffeinated coffee (
A) can still trigger acid reflux due to its acidity.
Tomato soup (
B) is high in acidity and may exacerbate GERD symptoms. Hot cocoa (
D) is also acidic and can worsen GERD. In summary, white fish is the best option for someone with GERD due to its low fat and low acidity content.
Question 5 of 5
A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Dizziness. Losartan is an angiotensin II receptor blocker used to treat hypertension. Dizziness is a common adverse effect due to its blood pressure-lowering effect. Hypertension (
A) is the opposite of an adverse effect. Double vision (
C) and hyperactivity (
D) are not typically associated with losartan. The nurse should monitor for dizziness as it can lead to falls and injury.