ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing digoxin toxicity?
Correct Answer: D
Rationale: Blurred vision is a sign of digoxin toxicity, along with nausea, arrhythmias, and halos. Tachycardia, hearing loss, and insomnia are not typical.
Question 2 of 5
A nurse is part of a task force planning to audit a facility's nursing units concerning adherence to hand-hygiene protocols. Which of the following steps should the task force take first?
Correct Answer: C
Rationale: Determining accepted hand hygiene standards is the first step to guide the audit. Data comparison, collection, and corrections follow.
Question 3 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like 'something opened up.' The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Covering with a saline-soaked dressing prevents tissue drying and infection. Trendelenburg, reinsertion, and frequent vitals are not priority actions.
Question 4 of 5
A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, 'I'm afraid they will give me drugs that put me to sleep.' Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Respecting the right to refuse medications reassures the client. Other responses dismiss concerns or disregard rights.
Question 5 of 5
A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Boiling water for 2 minutes ensures safety for powdered formula. BPA bottles, 3-day storage, and diluting formula are unsafe practices.