ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is assisting in the selection of foods for a client who has dysphagia caused by a stroke. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Scrambled eggs. This food choice is appropriate for a client with dysphagia caused by a stroke because it is soft and easy to swallow, reducing the risk of aspiration. Scrambled eggs are also a good source of protein and nutrients.
A: Crispy rice bar is not recommended as it is hard and can pose a choking hazard for someone with dysphagia.
B: Soda crackers are dry and can be difficult to swallow without enough liquid, increasing the risk of choking.
D: Peanut butter is thick and sticky, making it challenging for someone with dysphagia to swallow safely.
In summary, scrambled eggs are the best choice due to their soft texture and nutritional value, while the other options pose potential risks for individuals with dysphagia.
Question 2 of 5
A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic ileus?
Correct Answer: D
Rationale: The correct answer is D: Abdominal distention. Paralytic ileus is a temporary lack of movement in the intestines that can occur after surgery. Abdominal distention is a common sign of paralytic ileus due to the buildup of gas and fluid in the intestines. Watery stool (
A) is not indicative of paralytic ileus as it suggests normal bowel function. Oliguria (
B) refers to decreased urine output and is not directly related to paralytic ileus. Dizziness (
C) is a nonspecific symptom and not typically associated with paralytic ileus.
Question 3 of 5
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?
Correct Answer: B
Rationale: The correct answer is B: Bananas. This is because individuals allergic to latex may also exhibit cross-sensitivity to certain fruits such as bananas due to shared allergenic proteins. This phenomenon is known as latex-fruit syndrome. Bananas contain similar proteins to those found in latex, leading to potential allergic reactions in susceptible individuals. Almonds, strawberries, and hazelnuts are not commonly associated with latex cross-sensitivity.
Therefore, the nurse should prioritize assessing the child's potential sensitivity to bananas to ensure proper management and avoid potential allergic reactions.
Question 4 of 5
A nurse is reviewing the results of laboratory tests a client had as part of a comprehensive nutritional assessment. Which of the following results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Albumin 2.2 g/dL. Low albumin levels can indicate malnutrition or liver disease, which are crucial for nutritional assessment.
Total cholesterol (
B) and calcium (
D) levels are not directly related to nutritional status.
Total thyroxine (
C) levels are related to thyroid function, not nutritional assessment.
Choices E, F, and G are not given.
Therefore, the nurse should report the low albumin level for further evaluation and intervention.
Question 5 of 5
A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. Acute epiglottitis is a medical emergency that can lead to airway obstruction. The nurse should assess this child first to ensure airway patency. Drooling is a sign of difficulty swallowing and impending airway compromise. The nurse should act promptly to prevent respiratory distress.
Choices B, C, and D do not present immediate life-threatening conditions that require urgent assessment. Bright red blood in urine in a child with a UTI may indicate a more severe infection, but it does not require immediate intervention like airway management. Severe fatigue in a child with mononucleosis and an abdominal mass in a child with Wilms' tumor are concerning, but they do not pose immediate threats to the child's airway.