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 undergoing brachytherapy with a low-dose radiation implant for treatment of prostate cancer. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct visitors to stay 1 m (3.3 feet) away from the client. This is important in brachytherapy to minimize radiation exposure to others. Keeping a safe distance helps reduce the risk of radiation exposure. Straining the client's urine (
A) is not necessary for brachytherapy. Limiting visitors' time (
B) does not directly relate to radiation safety. Attaching a dosimeter (
C) is not typically done with low-dose radiation implants.
Therefore, the best choice is D to ensure visitor safety.
Question 2 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place a vibrating tuning fork on the top of the child's head. This is because the Weber's test involves placing a vibrating tuning fork on the midline of the patient's head to assess hearing acuity. In this test, the sound should be equally heard in both ears if the hearing is normal. Placing the tuning fork on the head allows for sound conduction through bone, which helps determine if there is a conductive or sensorineural hearing loss.
Choice A is incorrect as a выбираogram reading is not necessary for the Weber's test.
Choice C is incorrect as the tuning fork should be in contact with the head, not held away from the ears.
Choice D is incorrect as the Weber's test does not involve measuring how long the sound is heard.
Question 3 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: The correct answer is C: Give your son a little gift from his new sister. This strategy helps foster sibling bonding by creating a positive association between the siblings. It acknowledges the son's feelings and helps him feel included and special. It also promotes a sense of connection between the siblings from the beginning.
A: Plan for your son to meet his sister for the first time at home - This may be overwhelming for the son and doesn't address his concerns or help establish a positive relationship.
B: Give your son plenty of 'alone time' with his sister - While important for bonding, this doesn't directly address the son's concerns or help him feel more comfortable.
D: Hold your daughter when your son first meets her - This doesn't actively involve the son in the introduction and may not address his anxieties about the situation.
Question 4 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: The correct answer is D: Secure the catheter to the client's thigh. Securing the catheter to the client's thigh helps prevent tension on the catheter, reducing the risk of trauma to the urinary tract mucosa that can lead to UTIs. Placing the urinary bag at bladder level (choice
A) when ambulating does not directly minimize the risk of UTI. Looping the tubing lower than the collection bag (choice
B) can lead to backflow of urine, increasing the risk of infection. Obtaining urinary samples by disconnecting tubing connections (choice
C) poses a risk of contamination. Option D is the best choice for minimizing UTI risk.
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.