ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A 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: D
Rationale: Secure the catheter to the client's thigh. This reduces movement and urethral trauma, lowering infection risk. The bag must be below bladder level, looping obstructs flow, and disconnecting increases contamination risk.
Question 2 of 5
A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Fever. Clozapine can cause agranulocytosis, a serious condition that suppresses white blood cell production. Fever may indicate infection, which requires immediate evaluation. Polyuria, diarrhea, and diaphoresis are less urgent side effects.
Question 3 of 5
A nurse is assessing an older adult client. Which of the following statements indicates that the client is at a risk for being socially isolated?
Correct Answer: C
Rationale: Not attending church due to a lost hearing aid suggests withdrawal from social activities, increasing isolation risk. Loud speech, limited babysitting, or grocery trips do not indicate isolation.
Question 4 of 5
A nurse is caring for a client who is postpartum and expresses concern about how her preschool-age son will react to having a baby sister. Which of the following strategies should the nurse suggest?
Correct Answer: C
Rationale: Give your son a little gift from his new sister. This fosters a positive association and inclusion. Hospital meetings aid bonding, alone time is unsafe, and holding the baby may make the son feel displaced.
Question 5 of 5
A nurse is preparing to administer heparin at 1,000 units/hr via continuous IV infusion to a client who had a coronary artery bypass graft. Available is heparin 25,000 units in dextrose 5% in water in 250 mL. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 10
Rationale: The formula is: mL/hr = (Desired dose ×
Total volume) / Available dose. Substituting: (1,000 × 250) / 25,000 = 250,000 / 25,000 = 10 mL/hr. The answer is rounded to the nearest whole number as instructed.