ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Decreased impulsiveness. Methylphenidate is commonly used to treat ADHD by improving focus and reducing impulsivity. Decreased impulsiveness indicates that the medication is effectively managing the symptoms. B, C, and D are incorrect as they are not directly related to the expected outcomes of methylphenidate therapy. Decreased abdominal pain (
B) and increased appetite (
C) are not typical indicators of methylphenidate effectiveness, and increased urine output (
D) is not a common side effect or indicator of its therapeutic effect.
Question 2 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 3 of 5
A nurse is planning care for a client who is undergoing brachytherapy with a low-dose radiation implant for treatment of prostate cancer. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct visitors to stay 1 m (3.3 feet) away from the client. This is important in brachytherapy to minimize radiation exposure to others. Keeping a safe distance helps reduce the risk of radiation exposure. Straining the client's urine (
A) is not necessary for brachytherapy. Limiting visitors' time (
B) does not directly relate to radiation safety. Attaching a dosimeter (
C) is not typically done with low-dose radiation implants.
Therefore, the best choice is D to ensure visitor safety.
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 preparing to administer heparin at 1,000 units/hr via continuous IV infusion to a client who had a coronary artery bypass graft. Available is heparin 25,000 units in dextrose 5% in water in 250 mL. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 10
Rationale: The correct answer is 10 mL/hr.
To calculate this, first determine the total units in the bag (25,000 units).
Then, divide this by the desired dose rate (1,000 units/hr) to get 25 hours. Next, divide the total volume of the bag (250 mL) by the total time in hours to get 10 mL/hr. This ensures the client receives the correct dose of heparin over the specified time. Other choices are incorrect because they do not follow the correct calculation method or do not result in the precise dosage required for the client's condition.