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 preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?
Correct Answer: D
Rationale: The correct answer is D: "I know the provider will replace the lens in my eyes during this procedure." This statement indicates an understanding of the cataract removal procedure, as it involves replacing the cloudy lens with an artificial one. It shows knowledge of the specific aspect of the surgery.
A: General anesthesia is not typically used for cataract removal; local anesthesia is more common.
B: Seeing dark spots in vision is not a typical postoperative expectation for cataract removal.
C: Bruising of the eyelids is not a direct result of cataract removal.
Therefore, D is the most appropriate response as it aligns with the procedure's objective.
Question 2 of 5
A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?
Correct Answer: C
Rationale: The correct answer is C: You might feel a bit confused for a few hours after the procedure. This is because confusion is a common side effect of electroconvulsive therapy (ECT) due to the temporary disruption of cognitive functions. The confusion typically resolves within a few hours post-procedure.
Choice A is incorrect because feeling pulsations in the neck is not a typical sensation experienced during ECT.
Choice B is incorrect as the client usually wakes up shortly after the procedure, not 30 minutes later.
Choice D is incorrect as changes in voice are not a common side effect of ECT.
Question 3 of 5
A nurse is assessing a client who has dehydration due to prolonged diarrhea. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Dehydration leads to reduced blood volume, causing hypotension. This occurs due to decreased fluid levels in the body, resulting in lowered blood pressure. Bradycardia (
A) is less likely as the body compensates by increasing the heart rate. Edema (
B) is incorrect as dehydration causes fluid loss, leading to decreased tissue fluid. Crackles (
D) are associated with fluid in the lungs, which is not a common finding in dehydration.
Question 4 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like 'something opened up.' The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take in this scenario is to cover the wound with a saline-soaked dressing (
Choice
C). This is based on the principle of protecting the exposed tissue from contamination and preventing further complications such as infection. By covering the wound with a saline-soaked dressing, the nurse can create a moist environment that can help promote healing and reduce the risk of infection. Reinserting the protruding intestinal tissue (
Choice
A) should not be done by the nurse, as this is a medical intervention that should be performed by a healthcare provider. Placing the client in Trendelenburg position (
Choice
B) is not necessary and may not address the primary concern of wound separation. Monitoring vital signs every 30 minutes (
Choice
D) is important but not the immediate priority when there is protrusion of intestinal tissue.
Question 5 of 5
A nurse performs a capillary blood glucose check for a client who has type 1 diabetes mellitus and obtains a reading of 64 mg/dL on the glucometer. Which of the following assessment findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Nervousness. A blood glucose level of 64 mg/dL indicates hypoglycemia in a client with type 1 diabetes. Nervousness is a common symptom of hypoglycemia due to the body's stress response to low blood sugar. Tachypnea (choice
A) is more likely to be seen in diabetic ketoacidosis. Ketonuria (choice
B) is a sign of hyperglycemia and ketosis, not hypoglycemia. Warm skin (choice
C) is not specific to any particular blood glucose level.
Therefore, the nurse should expect the client to display nervousness as a result of the low blood glucose level.