ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?
Correct Answer: Bananas are commonly associated with latex allergy cross-sensitivity due to shared proteins. Other foods listed are not typically linked.
Rationale:
Question 2 of 5
A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?
Correct Answer: Acute epiglottitis with drooling indicates potential airway obstruction, a medical emergency requiring immediate assessment.
Rationale:
Question 3 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:
Question 4 of 5
A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?
Correct Answer: Excessive sweating is a hallmark of serotonin syndrome, requiring immediate reporting. Other symptoms are common side effects, not syndrome indicators.
Rationale:
Question 5 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg and their abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: Severe pain, bleeding, contractions, hypotension, and rigid abdomen indicate placental abruption. Uterine rupture occurs during labor, placenta previa is painless, and amniotic fluid embolus involves respiratory distress.
Rationale: