ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has deep-vein thrombosis and a new prescription for antiembolitic stockings. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Measure the legs with a tape measure to determine stocking size. This is important to ensure a proper fit and optimal effectiveness in preventing complications related to deep-vein thrombosis. Folding the stockings (choice
A) can create pressure points and impede circulation. Removing the stockings every 24 hr (choice
B) can lead to inadequate compression and increase the risk of blood clots. Massaging the legs before applying the stockings (choice
C) can dislodge blood clots and worsen the condition.
Therefore, measuring the legs with a tape measure is the most appropriate action to provide the client with the correct size of antiembolitic stockings.
Question 2 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 3 of 5
A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?
Correct Answer: D
Rationale: The correct answer is D: Rotavirus. At 2 months, infants should receive the rotavirus vaccine to protect against severe diarrhea and vomiting. Rotavirus is a common cause of gastroenteritis in young children. Influenza, Hepatitis A, and Varicella vaccines are not typically administered at 2 months. Influenza vaccine is usually given starting at 6 months, Hepatitis A vaccine around 1 year, and Varicella vaccine around 1 year as well.
Therefore, choices A, B, and C are incorrect for a 2-month-old infant.
Question 4 of 5
A nurse is teaching a class of newly licensed nurses about infectious diseases that nurses are required to report to the health department. Which of the following diseases should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary tuberculosis. Tuberculosis is a highly contagious infectious disease that is required to be reported to the health department due to its potential for rapid spread in the community. Reporting helps in controlling the spread of the disease and initiating timely treatment for affected individuals. Methicillin-resistant Staphylococcus aureus (
A) is an antibiotic-resistant bacterium that may not require mandatory reporting. Herpes simplex virus (
C) is a common viral infection that is not typically reportable to the health department. Fibromyalgia syndrome (
D) is a chronic pain condition and not an infectious disease that requires reporting.
Question 5 of 5
A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Use lamb's wool between toes that rub together. Lamb's wool helps prevent friction and skin breakdown between toes, which is important for clients with peripheral vascular disease to prevent ulcers. Wearing nylon socks (
A) can cause sweating and increase moisture, leading to skin irritation. Trimming toenails short and rounding the edges (
B) can increase the risk of ingrown toenails and cuts. Applying compression stockings that fit over the knees (
D) may not be suitable for clients with peripheral vascular disease as it can restrict blood flow.