ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has a new prescription for spironolactone and reports that they forgot to tell the provider that they take over-the-counter supplements. The nurse should instruct the client to avoid which of the following supplements?
Correct Answer: D
Rationale: The correct answer is D: Potassium. Spironolactone is a potassium-sparing diuretic, so combining it with potassium supplements can lead to hyperkalemia, a serious condition with symptoms like muscle weakness and irregular heartbeat. Avoiding potassium supplements is crucial to prevent this interaction. Iron (
A), magnesium (
B), and calcium (
C) are not contraindicated with spironolactone. Iron can be taken separately from spironolactone. Magnesium and calcium are not typically affected by spironolactone.
Question 3 of 5
A nurse performs a capillary blood glucose check for a client who has type 1 diabetes mellitus and obtains a reading of 64 mg/dL on the glucometer. Which of the following assessment findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Nervousness. A blood glucose level of 64 mg/dL indicates hypoglycemia in a client with type 1 diabetes. Nervousness is a common symptom of hypoglycemia due to the body's stress response to low blood sugar. Tachypnea (choice
A) is more likely to be seen in diabetic ketoacidosis. Ketonuria (choice
B) is a sign of hyperglycemia and ketosis, not hypoglycemia. Warm skin (choice
C) is not specific to any particular blood glucose level.
Therefore, the nurse should expect the client to display nervousness as a result of the low blood glucose level.
Question 4 of 5
A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Apply the patch prior to traveling. This is because transdermal scopolamine needs time to take effect before exposure to motion sickness triggers. Storing patches in the refrigerator (
A) is unnecessary and may affect the patch's efficacy. Placing the patch on the upper arm (
C) is incorrect as it should be applied behind the ear. Replacing a dislodged patch onto the same location (
D) is wrong because it may have lost its effectiveness.
Question 5 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.