ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is caring for a client following a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Position the client on their side. This is crucial to prevent aspiration in case the client vomits post-seizure. Placing the client on their side helps maintain a clear airway and prevents choking. Restraints (
A) should not be used unless absolutely necessary for safety. Ambulating (
B) a client after a seizure is unsafe as they may be disoriented or weak. Raising all side rails (
D) can restrict access for emergency care.
Question 2 of 5
A nurse is providing teaching to a guardian of a child who has ADHD. Which of the following strategies should the nurse suggest to improve the child's ability to concentrate?
Correct Answer: A
Rationale:
Correct Answer: A - Ask the child to complete homework in an area with minimal distractions.
Rationale: Children with ADHD often struggle with concentration. Completing homework in an area with minimal distractions can help the child focus better. Distractions can worsen symptoms of ADHD. Providing a quiet and organized space can enhance the child's ability to concentrate on the task at hand.
Summary:
B: Having the child write assignments by hand instead of using a computer may not necessarily improve concentration. It may be a personal preference for some but is not a proven strategy for improving focus in children with ADHD.
C: Varying the child's scheduled activities each day may be beneficial for overall development but may not specifically address the issue of concentration in children with ADHD.
D: Encouraging the child to read a book during an outdoor school activity period may be counterproductive as it may add more distractions and not help with improving focus.
Question 3 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 4 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Place the client leaning forward over the overbed table. This position helps to expand the intercostal spaces, making it easier to access and aspirate the pleural fluid during thoracentesis. It also reduces the risk of puncturing the diaphragm. A: Scheduling an MRI after the procedure is unnecessary and not related to thoracentesis. C: Encouraging the client to take deep breaths during the procedure is incorrect as it can cause movement and make the procedure more challenging. D: Ensuring the client has been NPO for 6 hours is irrelevant to thoracentesis and not necessary for this procedure.
Question 5 of 5
A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?
Correct Answer: C
Rationale: The correct answer is C: A client who has a right peripherally inserted central catheter (PIC
C). The reason for measuring blood pressure in the left arm of this client is to avoid potential damage to the PICC line in the right arm. Blood pressure measurements on the side with a PICC line should be avoided to prevent disruption of the line, which could lead to complications such as dislodgement, infection, or leakage of medication into the surrounding tissues.
Choice A (a client with an arteriovenous shunt in the left lower forearm) is incorrect because the shunt is not in the arm where blood pressure is being measured.
Choice B (a client with a right hemisphere stroke) is irrelevant to the location of the blood pressure measurement.
Choice D (a client who had blood drawn from the right antecubital area 1 hr ago) is also incorrect as recent blood draw does not impact the choice of arm for blood pressure measurement.