ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter. Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?
Correct Answer: Securing the catheter prevents urethral trauma, reducing UTI risk. Disconnecting tubing, keeping the bag at bladder level, or looping tubing increases infection risk.
Rationale:
Question 2 of 5
A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?
Correct Answer: Encouraging play with toys like a pounding board reduces anxiety. New routines, medical jargon, or assessments without parents may increase distress.
Rationale:
Question 3 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: Frequent swallowing may indicate bleeding, a critical post-tonsillectomy complication requiring immediate intervention.
Rationale:
Question 4 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 5 of 5
A nurse is assessing a client who is taking digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing digoxin toxicity?
Correct Answer: Blurred vision is a classic sign of digoxin toxicity. Hearing loss, insomnia, and tachycardia are not typical.
Rationale: