ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has GERD. Which of the following information should the nurse include?
Correct Answer: Chocolate can relax the lower esophageal sphincter, worsening GERD. Mint antacids, citrus fruits, and lying down after meals can exacerbate symptoms.
Rationale:
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: A right-sided PICC interferes with accurate blood pressure readings; use the left arm. Other conditions do not necessitate left-arm measurement.
Rationale:
Question 3 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: Frequent swallowing may indicate bleeding, a critical post-tonsillectomy complication requiring immediate intervention.
Rationale:
Question 4 of 5
A charge nurse is evaluating a newly licensed nurse who is caring for a client who has measles. For which of the following actions by the newly licensed nurse should the charge nurse intervene?
Correct Answer: Positive airflow can spread measles; negative airflow is required. N95 use, airborne precautions, and masks during transport are correct.
Rationale:
Question 5 of 5
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?
Correct Answer: A high-pressure alarm indicates airway obstruction, often from secretions. Suctioning clears the airway. Tracheostomy, tightening connections, or checking for cuff leaks are not the priority.
Rationale: