ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking disulfiram for alcohol use disorder and reports ingestion of alcohol. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Headache. Disulfiram causes a severe adverse reaction when alcohol is ingested, leading to a buildup of acetaldehyde causing a pounding headache. Insomnia (
A) is not a common adverse effect. Tinnitus (
B) and hypertension (
D) are not direct effects of disulfiram-alcohol reaction.
Question 2 of 5
A nurse is teaching a client how to care for his behind-the-ear hearing aids. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I'll disconnect the battery when I remove my hearing aids." This statement indicates an understanding of proper care because disconnecting the battery helps conserve battery life and prevents corrosion. Isopropyl alcohol (choice
A) is not recommended as it can damage the hearing aid. Replacing batteries every 2 weeks (choice
B) is a general guideline and may not be necessary if the batteries are still functioning. Cleaning the ear with cotton swabs (choice
D) can push wax further into the ear canal, potentially damaging the hearing aid.
Question 3 of 5
A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Sip carbonated beverages throughout the day. Carbonated beverages can help alleviate heartburn by promoting burping and reducing stomach acidity. This is beneficial for managing heartburn during pregnancy without causing harm to the fetus.
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back up the esophagus.
B: Eating a high-fat snack at bedtime can trigger heartburn due to delayed digestion and increased stomach acid production.
D: Hot herbal tea may aggravate heartburn symptoms as it can relax the lower esophageal sphincter, allowing acid to reflux.
Overall, option C is the most appropriate choice for managing heartburn during pregnancy.
Question 4 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: D
Rationale: The correct answer is D: Instruct the client to use an overbed trapeze to move around in bed. This intervention promotes client independence and mobility while reducing the risk of complications such as pressure ulcers and venous thromboembolism. Using an overbed trapeze allows the client to reposition themselves safely without undue strain on the residual limb. Placing the client on an air mattress (
A) may help with pressure redistribution but does not address mobility needs. Rewrapping the bandage every 8 hr in a circular pattern (
B) can cause constriction and compromise circulation. Turning the client every 4 hr while in bed (
C) is important for preventing pressure ulcers but does not address mobility.
Question 5 of 5
A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Lead 18 mcg/dL. Elevated lead levels in infants can lead to developmental delays and neurocognitive impairments. Lead poisoning is a serious concern, and any detectable lead levels should be reported to the provider for further evaluation and intervention.
Choices A, B, and D are within normal ranges for a 9-month-old infant and do not raise immediate concerns. Reporting these values would not be necessary.