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 is scheduled for a thoracentesis. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Place the client leaning forward over the overbed table. This position helps to expand the intercostal spaces, making it easier to access and aspirate the pleural fluid during thoracentesis. It also reduces the risk of puncturing the diaphragm. A: Scheduling an MRI after the procedure is unnecessary and not related to thoracentesis. C: Encouraging the client to take deep breaths during the procedure is incorrect as it can cause movement and make the procedure more challenging. D: Ensuring the client has been NPO for 6 hours is irrelevant to thoracentesis and not necessary for this procedure.
Question 2 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 3 of 5
A nurse is providing teaching to a group of clients about complementary and alternative therapies using herbs. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I can use chamomile tea to promote sleep"
Rationale: Chamomile is known for its calming properties and can help promote relaxation and improve sleep quality. This statement shows an understanding of using herbs for specific purposes, aligning with complementary and alternative therapies.
Summary of Incorrect
Choices:
B: Herbal medicines can interact with conventional medications, leading to potential adverse effects.
C: While ginger can help with nausea and inflammation, it is not typically used for headaches.
D: Herbal medicines are not regulated by the FDA, which can lead to variations in quality and safety.
Question 4 of 5
A nurse is providing change-of-shift report about a client to an oncoming nurse. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because informing the oncoming nurse about a recent lung biopsy is crucial for continuity of care and monitoring for any complications. This information is time-sensitive and could impact the client's immediate care needs.
Choices A, C, and D are not as critical for immediate care planning during shift change. A recent administration of morphine may be important, but not as urgent as a recent procedure like a lung biopsy. Vital signs being obtained every 4 hours is routine and not specific to the current situation. The presence of the client's partner, while important for emotional support, is not a critical detail for immediate care planning during shift change.
Question 5 of 5
A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will position my baby at a 45-degree angle in the car seat." This response indicates understanding of car seat safety for newborns. Newborns should be positioned at a 45-degree angle to prevent their head from flopping forward and compromising their airway. Placing the baby at this angle helps maintain an open airway and ensures proper breathing.
Choice A is incorrect because rear-facing car seats are recommended until at least age 2.
Choice B is incorrect because the retainer clip should be positioned at armpit level.
Choice C is incorrect because shoulder harness straps should be at or below the baby's shoulders for proper fit.