ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Injecting air into the regular insulin vial before the NPH insulin vial prevents contamination. This technique avoids drawing NPH insulin into the regular insulin vial, which could alter the regular insulin's effectiveness. It also prevents air bubbles from being injected into the NPH vial, which could affect the accuracy of the NPH insulin dosage.
Summary of other choices:
A: Shaking both insulin vials before withdrawing doses can cause frothing and denaturation of insulin molecules, affecting their efficacy.
B: Administering the mixture within 5 minutes is not a recommended practice as it does not address the issue of potential contamination between the two insulins.
C: Withdrawing NPH insulin before regular insulin can lead to contamination and inaccurate dosages.
E, F, G: No information provided.
Question 2 of 5
In which order should the nurse perform the following steps for administering timolol eye drops? A. Administer the prescribed number of drops, B. Apply gentle pressure to the client's punctum, C. Tilt the client's head backward toward the ceiling, D. Pull the client's lower lid down with the nondominant hand, E. Verify the clarity and color of the eye drops.
Correct Answer: E,C,D,A,B
Rationale: The correct order for administering timolol eye drops is as follows:
E. Verify the clarity and color of the eye drops - This step ensures the correct medication is being used.
C. Tilt the client's head backward toward the ceiling - This position helps the drops enter the eye properly.
D. Pull the client's lower lid down with the nondominant hand - This helps create a pocket for the drops.
A. Administer the prescribed number of drops - The actual administration of the medication.
B. Apply gentle pressure to the client's punctum - This helps prevent systemic absorption of the medication.
The other choices are incorrect because they are not in the correct sequence for administering eye drops effectively.
Question 3 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 4 of 5
A nurse is assessing a client who has a calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Muscle twitching. A calcium level of 7.6 mg/dL indicates hypocalcemia, which can lead to neuromuscular irritability and muscle twitching. Calcium is essential for muscle contraction, and low levels can result in increased neuromuscular excitability. Hypertension (choice
A) is not typically associated with low calcium levels. Bounding pulse (choice
C) is more indicative of conditions like hyperthyroidism or anemia. Increased urine output (choice
D) is not a common manifestation of hypocalcemia.
Question 5 of 5
A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states, 'I don't know what my surgery tomorrow is for.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B. The nurse should inform the provider that the client has questions about the surgery. This response is appropriate as it ensures the client's concerns are addressed by the healthcare provider who has the necessary expertise to provide detailed information about the upcoming procedure. It promotes effective communication between the client and the healthcare team, leading to a better understanding of the treatment plan.
Choice A is incorrect as simply noting the client's lack of understanding in the medical record does not address the client's immediate need for clarification.
Choice C is incorrect as it suggests discussing alternative treatment options, which may not be relevant if the surgery has already been scheduled.
Choice D is incorrect because the nurse should not provide detailed information about the procedure without involving the healthcare provider, who is responsible for explaining the specifics of the surgery to the client.