ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?
Correct Answer: C
Rationale: The correct answer is C: A client who has a right peripherally inserted central catheter (PIC
C). The reason for measuring blood pressure in the left arm of this client is to avoid potential damage to the PICC line in the right arm. Blood pressure measurements on the side with a PICC line should be avoided to prevent disruption of the line, which could lead to complications such as dislodgement, infection, or leakage of medication into the surrounding tissues.
Choice A (a client with an arteriovenous shunt in the left lower forearm) is incorrect because the shunt is not in the arm where blood pressure is being measured.
Choice B (a client with a right hemisphere stroke) is irrelevant to the location of the blood pressure measurement.
Choice D (a client who had blood drawn from the right antecubital area 1 hr ago) is also incorrect as recent blood draw does not impact the choice of arm for blood pressure measurement.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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