ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Droplet precautions. Bacterial meningitis is spread through respiratory secretions, making it necessary to implement droplet precautions. This includes wearing a mask, gloves, and gown when in close contact with the child. Droplet precautions prevent the transmission of pathogens through respiratory droplets. Protective environment (
A) is for immunocompromised patients. Contact precautions (
C) are for diseases spread by direct contact. Airborne precautions (
D) are for diseases transmitted through airborne particles.选择 B:飞沫预防措施是正确答案。细菌性脑膜炎通过呼吸道分泌物传播，因此需要实施飞沫预防措施。这包括在与患儿密切接触时戴口罩、手套和防护服
Question 2 of 5
A nurse is assessing a client who has a calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Muscle twitching. A calcium level of 7.6 mg/dL indicates hypocalcemia, which can lead to neuromuscular irritability and muscle twitching. Calcium is essential for muscle contraction, and low levels can result in increased neuromuscular excitability. Hypertension (choice
A) is not typically associated with low calcium levels. Bounding pulse (choice
C) is more indicative of conditions like hyperthyroidism or anemia. Increased urine output (choice
D) is not a common manifestation of hypocalcemia.
Question 3 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 4 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Place the client leaning forward over the overbed table. This position helps to expand the intercostal spaces, making it easier to access and aspirate the pleural fluid during thoracentesis. It also reduces the risk of puncturing the diaphragm. A: Scheduling an MRI after the procedure is unnecessary and not related to thoracentesis. C: Encouraging the client to take deep breaths during the procedure is incorrect as it can cause movement and make the procedure more challenging. D: Ensuring the client has been NPO for 6 hours is irrelevant to thoracentesis and not necessary for this procedure.
Question 5 of 5
A nurse is receiving information about four children during change-of-shift report. Which of the following children should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: A 12-year-old child who has cystic fibrosis and reports difficulty clearing secretions. This child should be assessed first because difficulty clearing secretions can lead to respiratory distress and potential airway obstruction, which are life-threatening in children with cystic fibrosis. Assessing and addressing this issue promptly is crucial to prevent respiratory compromise.
Choice B: The 3-year-old child with an atrial septal defect and a heart rate of 120/min is stable and does not require immediate assessment unless there are signs of distress.
Choice C: The 5-year-old child with type 1 diabetes mellitus and a blood sugar of 150 mg/dL is within the target range and does not require immediate assessment.
Choice D: The 2-year-old child with diarrhea and abdominal pain is a lower priority compared to the child with cystic fibrosis experiencing difficulty clearing secretions.