ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: Frequent swallowing. This is the priority finding as it could indicate bleeding after tonsillectomy, which is a potential complication requiring immediate attention. Dark brown emesis (choice
B) could also indicate bleeding but is less specific. Sore throat (choice
A) is expected post-operatively. Blood-tinged mucus (choice
C) can be common after tonsillectomy.
Therefore, the priority is to assess for signs of bleeding, which is most indicative by frequent swallowing.
Question 2 of 5
A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Herpes zoster. Older adults are at increased risk for shingles caused by the varicella-zoster virus. The herpes zoster vaccine can help prevent shingles and its complications. Rotavirus (
A) is typically given to infants, HPV (
B) is recommended for younger individuals to prevent certain cancers, and DTaP (
D) is more relevant for children to protect against diphtheria, tetanus, and pertussis. Vaccination choices need to be tailored to the specific age group and risk factors.
Question 3 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 4 of 5
A nurse is teaching a client who is postpartum about caring for their newborn's umbilical cord. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Wash the area around the base of the cord with water. This instruction is essential for maintaining hygiene and preventing infection. Washing the area with water helps keep it clean without introducing potential irritants or pathogens. It is important to avoid using alcohol or other substances that may delay healing or cause irritation.
Choices B, C, and D are incorrect. B: Covering the cord with the upper edge of the diaper can trap moisture, leading to infection. C: Reporting minor bleeding when the cord's stump falls off is normal and expected. D: Applying petroleum jelly can create a moist environment that promotes bacterial growth.
Question 5 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.