ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving enteral feedings via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client's feedings?
Correct Answer: D
Rationale: Adding water prevents hyperosmolar dehydration by diluting high-solute formulas. Lactose-free formulas, repositioning, or increasing the rate do not address the issue.
Question 2 of 5
A nurse is caring for a female client who requires bed rest and reports difficulty urinating into a bedpan. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Running water triggers urination reflex. Cool water, stroking abdomen, or leaning backward are less effective.
Question 3 of 5
A nurse is caring for a client who has a new prescription for spironolactone and reports that he forgot to tell the provider that he takes over-the-counter supplements. The nurse should instruct the client to avoid which of the following supplements?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia. Avoiding potassium supplements is critical. Other supplements are not contraindicated.
Question 4 of 5
A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?
Correct Answer: D
Rationale: Excessive sweating signals serotonin syndrome, a serious condition. Dry mouth, constipation, and insomnia are common side effects.
Question 5 of 5
A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Lamb’s wool prevents skin breakdown between toes. Nylon socks, rounded toenails, and compression stockings risk complications.