ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Initiate seizure precautions. Diazepam is a benzodiazepine commonly used to manage alcohol withdrawal symptoms, including seizures. Seizure precautions involve monitoring the client's environment for safety, such as padding the bed rails and ensuring a clear space around the client. This intervention is crucial as alcohol withdrawal can lead to life-threatening seizures. Administering the medication subcutaneously (
A) is not typically recommended for diazepam as it is usually given orally or intravenously. Administering the medication with an antacid (
C) is not necessary for diazepam. Initiating contact precautions (
D) is not relevant in this situation as alcohol withdrawal does not require isolation precautions.
Question 2 of 5
A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action to take first in the scenario described is to activate the fire alarm system (choice
B). This is because activating the fire alarm system will immediately alert everyone in the facility to the potential danger, allowing for a quick and organized evacuation if necessary. Closing doors and windows (choice
A) may contain the smoke temporarily but does not address the potential fire hazard. Using a fire extinguisher (choice
C) should only be done if it is safe to do so and after the fire alarm has been activated. Evacuating clients (choice
D) is important but should be done after the fire alarm has been activated to ensure everyone is aware of the situation.
Question 3 of 5
A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The statement "I know the provider will replace the lens in my eyes during this procedure" indicates an understanding of cataract removal, which involves replacing the cloudy lens with an artificial one. This statement shows the client is aware of the main objective of the surgery, highlighting comprehension of the procedure.
Summary:
A: Incorrect - Eyelid bruising is a common side effect of cataract surgery, but it does not demonstrate understanding of the main procedure.
C: Incorrect - Seeing dark spots in vision after cataract surgery is not an expected outcome and does not indicate understanding.
D: Incorrect - The type of anesthesia used for cataract surgery varies, and general anesthesia is not always necessary. This statement does not show understanding of the procedure.
Question 4 of 5
A nurse is teaching a class of newly licensed nurses about infectious diseases that nurses are required to report to the health department. Which of the following diseases should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary tuberculosis. Tuberculosis is a highly contagious infectious disease that is required to be reported to the health department due to its potential for rapid spread in the community. Reporting helps in controlling the spread of the disease and initiating timely treatment for affected individuals. Methicillin-resistant Staphylococcus aureus (
A) is an antibiotic-resistant bacterium that may not require mandatory reporting. Herpes simplex virus (
C) is a common viral infection that is not typically reportable to the health department. Fibromyalgia syndrome (
D) is a chronic pain condition and not an infectious disease that requires reporting.
Question 5 of 5
A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?
Correct Answer: D
Rationale: The correct answer is D. Referring to oneself by name at 24 months is a developmental milestone indicating self-awareness and language development. It shows understanding of personal identity.
Choices A, B, and C are typical gross motor skills for a 24-month-old. Falling when throwing a ball overhand is expected as motor skills are still developing. Going up stairs with two feet on each step is a common way toddlers climb stairs for safety. Running with a wide stance is normal at this age for balance and stability.