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RN ATI Capstone Proctored Comprehensive Assessment Form B Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is taking antihypertensive medication and is moving from a supine to a sitting position. Which of the following findings should indicate to the nurse that the client is experiencing orthostatic hypotension?

Correct Answer: Orthostatic hypotension is defined by a systolic blood pressure drop of 20 mm Hg or more upon standing. Increased heart rate, increased diastolic pressure, or palpitations are not specific to this condition.

Rationale:

Question 2 of 5

A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?

Correct Answer: Applying the patch before travel ensures effectiveness. It goes behind the ear, dislodged patches need new sites, and refrigeration is not required.

Rationale:

Question 3 of 5

A nurse is evaluating the progress of a school-age child who takes methylphenidate. Which of the following findings indicates the effectiveness of the medication?

Correct Answer: Decreased impulsiveness indicates methylphenidate's effectiveness for ADHD. Urine output, appetite, and abdominal pain are not primary indicators.

Rationale:

Question 4 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: Asking about self-harm is the priority to assess safety, as feelings of uselessness may indicate suicidal ideation in older adults.

Rationale:

Question 5 of 5

A nurse in an acute mental health facility is teaching a client about the potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that they may feel lightheaded, but that it should not affect their memory. The nurse is demonstrating which of the following ethical principles?

Correct Answer: Providing truthful information about TMS effects demonstrates veracity. Fidelity, beneficence, and autonomy are not directly shown.

Rationale:

Similar Questions

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?
A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?
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?
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg and their abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
A charge nurse is observing assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?

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