ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 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 2 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 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 class of newly licensed nurses about infectious diseases that nurses are required to report to the health department. Which of the following diseases should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Pulmonary tuberculosis. This disease is required to be reported to the health department due to its highly contagious nature and potential for public health implications. Tuberculosis is transmitted through the air, making it a significant risk to the community. Reporting cases to the health department allows for proper monitoring, treatment, and prevention of further spread.
Choices B, C, and D are not required to be reported as they are not highly contagious or pose a significant public health threat compared to tuberculosis. Fibromyalgia syndrome is a chronic pain condition, Herpes simplex virus is common and not reportable, and Methicillin-resistant Staphylococcus aureus, while concerning, is typically managed within healthcare facilities and does not require reporting to the health department for public health monitoring.
Question 5 of 5
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Select a site proximal to previous venipuncture sites. This is important to prevent complications like phlebitis and infiltration. Choosing the client's dominant arm (
A) may not always be necessary. Initiating IV access on the palmar side of the wrist (
C) is not ideal due to the risk of nerve damage. Inserting a larger gauge IV catheter (
D) can increase the risk of phlebitis and should be avoided unless necessary.