ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has dehydration due to prolonged diarrhea. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Dehydration leads to reduced blood volume, causing hypotension. This occurs due to decreased fluid levels in the body, resulting in lowered blood pressure. Bradycardia (
A) is less likely as the body compensates by increasing the heart rate. Edema (
B) is incorrect as dehydration causes fluid loss, leading to decreased tissue fluid. Crackles (
D) are associated with fluid in the lungs, which is not a common finding in dehydration.
Question 2 of 5
A nurse is assessing a client who is 2 days postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Small clots with tissue in the urine. After a transurethral resection of the prostate, it is common to see small clots with tissue in the urine due to the trauma caused by the procedure. This finding is expected as the body heals postoperatively.
Incorrect Answers:
B: Dark red urine would indicate active bleeding, which is not a normal finding in this situation.
C: Urinary output of 25 mL/hr is below the normal range and may indicate inadequate hydration or potential kidney issues, not a typical finding postoperatively.
D: Pain of 8 on a scale of 0 to 10 is a high level of pain and should be addressed promptly, but it is not a typical finding associated with this specific postoperative period.
Question 3 of 5
A nurse is preparing to administer medication to a client and discovers that a nurse on the previous shift gave the client an incorrect dose of the medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Forwarding a completed incident report to the risk manager within 24 hours is the correct action for the nurse to take in this scenario. This is important to ensure that the medication error is documented and investigated promptly to prevent harm to the client and to identify any system issues that led to the error. It also follows proper protocol for reporting and addressing medication errors in healthcare settings.
Summary of other choices:
B: Notifying the facility's pharmacist within 1 hour may be important for immediate safety concerns, but the incident report should still be completed and forwarded to the risk manager.
C: Calling the nurse who made the error may be appropriate for clarifying details but should not replace the formal incident reporting process.
D: Placing an incident report in the client's medical record is necessary, but it should also be forwarded to the risk manager for further investigation and action.
Question 4 of 5
In which order should the nurse perform the following steps for administering timolol eye drops? A. Administer the prescribed number of drops, B. Apply gentle pressure to the client's punctum, C. Tilt the client's head backward toward the ceiling, D. Pull the client's lower lid down with the nondominant hand, E. Verify the clarity and color of the eye drops.
Correct Answer: E,C,D,A,B
Rationale: The correct order for administering timolol eye drops is as follows:
E. Verify the clarity and color of the eye drops - This step ensures the correct medication is being used.
C. Tilt the client's head backward toward the ceiling - This position helps the drops enter the eye properly.
D. Pull the client's lower lid down with the nondominant hand - This helps create a pocket for the drops.
A. Administer the prescribed number of drops - The actual administration of the medication.
B. Apply gentle pressure to the client's punctum - This helps prevent systemic absorption of the medication.
The other choices are incorrect because they are not in the correct sequence for administering eye drops effectively.
Question 5 of 5
A nurse is teaching a client who has a new prescription for metformin extended release tablets. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will avoid crushing this medication." Metformin extended-release tablets should not be crushed, as it can alter the drug's release mechanism and potentially lead to an overdose. Crushing the medication can cause too much of the drug to be released at once, leading to adverse effects. Taking the medication in the morning (choice
A) or on an empty stomach (choice
B) are not necessarily incorrect but do not specifically demonstrate understanding of the teaching about avoiding crushing the tablets. Expecting to gain weight (choice
D) is unrelated to the administration of metformin.