ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Correct Answer: Symptoms like chills, headache, low-back pain, and chest tightness suggest an acute hemolytic reaction, often due to ABO incompatibility, requiring immediate intervention.
Rationale:
Question 2 of 5
A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?
Correct Answer: Symptoms like chills, headache, low-back pain, and chest tightness suggest an acute hemolytic reaction, often due to ABO incompatibility, requiring immediate intervention.
Rationale:
Question 3 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: Placing a tuning fork on the head assesses sound lateralization in Weber's test. Other actions are not part of this procedure.
Rationale:
Question 4 of 5
A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?
Correct Answer: Transverse fetal lie contraindicates misoprostol due to risks like cord prolapse. Other conditions may warrant its use.
Rationale:
Question 5 of 5
A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?
Correct Answer: Documenting the omission factually without blame is appropriate. Other options lack detail, assign blame, or include irrelevant information.
Rationale: