ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a three-chamber chest tube system. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maintaining 2 cm water in the seal chamber prevents air entry. Emptying chambers, frequent patency checks, and raising the system are incorrect.
Question 2 of 5
A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Alcohol withdrawal risks seizures, so seizure precautions are necessary. Subcutaneous administration, antacids, and contact precautions are incorrect.
Question 3 of 5
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A high-pressure alarm suggests airway obstruction, often from secretions. Suctioning clears the airway. Leaks or loose connections cause low-pressure alarms.
Question 4 of 5
A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Bran cereal, high in fiber, reduces reflux. Fried chicken, tomato soup, and cocoa worsen GERD symptoms.
Question 5 of 5
A nurse is implementing crisis interventions for a client following an incidence of intimate partner abuse. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Ensuring physical safety is the priority in abuse cases. Coping skills, support systems, and expressing feelings follow.