ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Encourage the child to play with toys such as a pounding board. This is appropriate because play is an essential component of a preschooler's development and can help reduce anxiety during their stay. Providing toys like a pounding board can promote fine motor skills and distract the child from the unfamiliar hospital environment.
Establishing a new routine (choice
A) may cause more stress for the child as they are already in an unfamiliar setting. Using medical terminology (choice
B) can be confusing and intimidating for a preschooler. Performing assessments when the parent is not in the room (choice
D) may not be ideal as the child may feel more comfortable and reassured with their parent present.
Question 2 of 5
A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states, 'I don't know what my surgery tomorrow is for.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B. The nurse should inform the provider that the client has questions about the surgery. This response is appropriate as it ensures the client's concerns are addressed by the healthcare provider who has the necessary expertise to provide detailed information about the upcoming procedure. It promotes effective communication between the client and the healthcare team, leading to a better understanding of the treatment plan.
Choice A is incorrect as simply noting the client's lack of understanding in the medical record does not address the client's immediate need for clarification.
Choice C is incorrect as it suggests discussing alternative treatment options, which may not be relevant if the surgery has already been scheduled.
Choice D is incorrect because the nurse should not provide detailed information about the procedure without involving the healthcare provider, who is responsible for explaining the specifics of the surgery to the client.
Question 3 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: A
Rationale: The correct answer is A: Pulmonary tuberculosis. This disease is required to be reported to the health department due to its highly contagious nature and potential for public health implications. Tuberculosis is transmitted through the air, making it a significant risk to the community. Reporting cases to the health department allows for proper monitoring, treatment, and prevention of further spread.
Choices B, C, and D are not required to be reported as they are not highly contagious or pose a significant public health threat compared to tuberculosis. Fibromyalgia syndrome is a chronic pain condition, Herpes simplex virus is common and not reportable, and Methicillin-resistant Staphylococcus aureus, while concerning, is typically managed within healthcare facilities and does not require reporting to the health department for public health monitoring.
Question 4 of 5
A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fever. Fever is a potentially serious side effect of clozapine and can indicate a condition called agranulocytosis, which is a severe drop in white blood cell count. This condition can be life-threatening and requires immediate medical attention. Polyuria (choice
A) is not directly associated with clozapine. Diarrhea (choice
C) and diaphoresis (choice
D) are common side effects of clozapine but are not as concerning as fever.
Question 5 of 5
A nurse is assessing a client who has a calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Muscle twitching. A calcium level of 7.6 mg/dL indicates hypocalcemia, which can lead to neuromuscular irritability and muscle twitching. Calcium is essential for muscle contraction, and low levels can result in increased neuromuscular excitability. Hypertension (choice
A) is not typically associated with low calcium levels. Bounding pulse (choice
C) is more indicative of conditions like hyperthyroidism or anemia. Increased urine output (choice
D) is not a common manifestation of hypocalcemia.