ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A 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: B
Rationale: The correct answer is B: Bananas. This is because individuals allergic to latex may also exhibit cross-sensitivity to certain fruits such as bananas due to shared allergenic proteins. This phenomenon is known as latex-fruit syndrome. Bananas contain similar proteins to those found in latex, leading to potential allergic reactions in susceptible individuals. Almonds, strawberries, and hazelnuts are not commonly associated with latex cross-sensitivity.
Therefore, the nurse should prioritize assessing the child's potential sensitivity to bananas to ensure proper management and avoid potential allergic reactions.
Question 2 of 5
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Select a site proximal to previous venipuncture sites. This is important to prevent complications such as phlebitis and infiltration. Choosing a site proximal to previous punctures allows for better vein integrity and minimizes the risk of injury. Options A and B are incorrect as they do not address potential complications or best practices for IV insertion. Option D is incorrect since using a larger gauge catheter can actually increase the risk of phlebitis. Option E, F, and G are not provided. In summary, selecting a site proximal to previous venipuncture sites is crucial for successful IV therapy and minimizing complications.
Question 3 of 5
A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C because monitoring the client's temperature every 4 hours is crucial for early detection of infection in neutropenic patients, as they have compromised immune systems. This allows for timely intervention and prevention of complications.
Choice A is incorrect as sterile technique is necessary for invasive procedures to prevent infection.
Choice B is incorrect as exposing neutropenic patients to healthy individuals increases their risk of infection.
Choice D is incorrect as frequent cleaning of the client's room is essential to minimize exposure to pathogens.
Question 4 of 5
A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride IV at 500 mL/hr for 3 hr, then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 mL/hr for 2 hr. What is the total volume the nurse should document for the client's IV fluid intake? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2250
Rationale: The correct answer is 2250.
To calculate the total volume, you add the volumes from each rate: 0.45% sodium chloride at 500 mL/hr for 3 hr (500*3=1500 mL), then at 200 mL/hr for 3 hr (200*3=600 mL), and finally dextrose 5% in water at 75 mL/hr for 2 hr (75*2=150 mL). Adding these together (1500+600+150=2250 mL) gives the total fluid intake. The other choices are incorrect as they do not accurately calculate the total volume based on the rates and durations provided.
Question 5 of 5
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Suction the client's airway. When the high-pressure alarm on the ventilator sounds, it indicates that there is an obstruction in the airway. Suctioning helps to clear the airway and prevent further complications. Looking for a leak in the tube's cuff (
B) is not the priority in this situation. Tightening tubing connections (
C) may not address the immediate issue of airway obstruction. Requesting insertion of a tracheostomy tube (
D) is not necessary unless other interventions fail.