ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Dizziness. Losartan is an angiotensin II receptor blocker used to treat hypertension. Dizziness is a common adverse effect due to its blood pressure-lowering effect. Hypertension (
A) is the opposite of an adverse effect. Double vision (
C) and hyperactivity (
D) are not typically associated with losartan. The nurse should monitor for dizziness as it can lead to falls and injury.
Question 2 of 5
A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fever. Fever is a potentially serious side effect of clozapine and can indicate a condition called agranulocytosis, which is a severe drop in white blood cell count. This condition can be life-threatening and requires immediate medical attention. Polyuria (choice
A) is not directly associated with clozapine. Diarrhea (choice
C) and diaphoresis (choice
D) are common side effects of clozapine but are not as concerning as fever.
Question 3 of 5
A nurse is caring for a client who has a terminal illness. The client tells the nurse, 'I have decided to discontinue my treatment. I want to pursue alternative therapies instead.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "What has your doctor told you about your treatment options?" This question acknowledges the client's decision and opens up a dialogue about the client's understanding of their current treatment plan. It shows respect for the client's autonomy while also seeking to ensure they have accurate information to make an informed decision.
Choice A may come off as confrontational or judgmental.
Choice B assumes the client hasn't considered their family's input.
Choice D is dismissive and avoids addressing the client's concerns.
Question 4 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: The correct action for the nurse to take in this scenario is to cover the wound with a saline-soaked dressing (
Choice
C). This is based on the principle of protecting the exposed tissue from contamination and preventing further complications such as infection. By covering the wound with a saline-soaked dressing, the nurse can create a moist environment that can help promote healing and reduce the risk of infection. Reinserting the protruding intestinal tissue (
Choice
A) should not be done by the nurse, as this is a medical intervention that should be performed by a healthcare provider. Placing the client in Trendelenburg position (
Choice
B) is not necessary and may not address the primary concern of wound separation. Monitoring vital signs every 30 minutes (
Choice
D) is important but not the immediate priority when there is protrusion of intestinal tissue.
Question 5 of 5
A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
Correct Answer: C
Rationale: The correct answer is C: The child was brought to the ED 2 days after the injury occurred. This delay in seeking medical attention for a fractured arm raises concerns about potential child maltreatment. Delayed medical care can indicate neglect or intentional harm. This warrants further investigation by the nurse to ensure the child's safety.
Choice A is incorrect because it is common for guardians to accompany children to medical procedures.
Choice B is common in accidental injuries and does not necessarily indicate maltreatment.
Choice D is a normal response to pain and does not directly suggest maltreatment.