ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postpartum and expresses concern about how her preschool-age son will react to having a baby sister. Which of the following strategies should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Give your son a little gift from his new sister. This strategy helps foster sibling bonding by creating a positive association between the siblings. It acknowledges the son's feelings and helps him feel included and special. It also promotes a sense of connection between the siblings from the beginning.
A: Plan for your son to meet his sister for the first time at home - This may be overwhelming for the son and doesn't address his concerns or help establish a positive relationship.
B: Give your son plenty of 'alone time' with his sister - While important for bonding, this doesn't directly address the son's concerns or help him feel more comfortable.
D: Hold your daughter when your son first meets her - This doesn't actively involve the son in the introduction and may not address his anxieties about the situation.
Question 2 of 5
A nurse is caring for a client who is 12 hr postoperative following a below-the-knee amputation. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale:
Rationale:
Choice C (Instruct the client to use an overbed trapeze to move around in bed) is correct because it promotes client independence and mobility without putting excessive pressure on the surgical site. This intervention helps prevent complications such as pressure ulcers and deep vein thrombosis. Turning the client every 4 hours (
Choice
A) may be too frequent and could disrupt wound healing. Placing the client on an air mattress (
Choice
B) may not be necessary and could potentially increase the risk of falls. Rewrapping the bandage every 8 hours in a circular pattern (
Choice
D) is incorrect as it can impede circulation and cause complications.
Question 3 of 5
A nurse in a provider's office is talking with an older adult client who tells the nurse that they fear they are 'aging badly' and feel 'so useless.' Which of the following assessment questions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: "Do you ever think about harming yourself?" This question is the priority because it assesses the client's immediate safety and risk of harm. The client's statements indicate feelings of worthlessness and fear of aging badly, which can be associated with depression and suicidal ideation in older adults. By asking about thoughts of self-harm, the nurse can identify if the client is at risk and take appropriate actions to ensure their safety.
Choice A (Did anything in particular make you feel this way?) is not the priority because it focuses on the cause rather than the client's safety.
Choice B (Would you tell me more about the changes you see in your body?) is also not the priority as it does not address the client's emotional distress.
Choice D (How long have you had these feelings of uselessness?) is important but not as urgent as assessing for suicidal thoughts.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action to take first when inserting an indwelling urinary catheter is to position the sterile drape leaving the perineum exposed (choice
D). This step is crucial to maintain a sterile field and prevent contamination during the procedure. By positioning the sterile drape first, the nurse ensures that the area where the catheter will be inserted remains clean and free from pathogens.
Lubricating the catheter with water-soluble gel (choice
A) is an important step in the procedure, but it should be done after the sterile field is established. Attaching a prefilled syringe to the catheter inflation hub (choice
B) is not the first step as it pertains to securing the catheter in place after insertion. Cleansing the client's meatus with antiseptic solution (choice
C) is also an essential step but should be performed after positioning the sterile drape.
Question 5 of 5
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Select a site proximal to previous venipuncture sites. This is important to prevent complications like phlebitis and infiltration. Choosing the client's dominant arm (
A) may not always be necessary. Initiating IV access on the palmar side of the wrist (
C) is not ideal due to the risk of nerve damage. Inserting a larger gauge IV catheter (
D) can increase the risk of phlebitis and should be avoided unless necessary.