ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who is 1 day postoperative following a right modified radical mastectomy. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Begin ball squeezing exercises. This helps prevent lymphedema by promoting lymphatic drainage. B: Avoid using the affected arm for eating is incorrect as it's important to gradually resume normal activities. C: Using deodorant under the affected arm can cause irritation or infection in the surgical site. D: Wearing a bra with wire support can cause discomfort and restrict lymphatic flow. It is vital to prioritize exercises that promote lymphatic drainage to prevent complications.
Question 2 of 5
A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Use container lids of different shapes to indicate times of administration. This option promotes medication adherence for the client with vision loss by providing a tactile cue for different medication times. Rearranging furniture (
A) does not directly address medication management. Covering appliance cords with throw rugs (
C) poses a safety hazard. Visiting the client once per month (
D) is not frequent enough for proper medication monitoring.
Question 3 of 5
A nurse is teaching a newly licensed nurse about informed consent. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Rationale for Correct Answer (
C): The nurse should include that a client can refuse a procedure after signing an informed consent form because informed consent is an ongoing process and the client has the right to change their mind at any point before the procedure. This empowers the client to make autonomous decisions about their care.
Explanation of Incorrect
Choices:
A: While it is important to explain surgical risks, this is not specific to informed consent teaching.
B: A client who is unable to write can still provide informed consent through other means like verbal confirmation or using a legal representative.
D: A client who is blind can still provide informed consent as long as the information is presented to them in a way they can understand, without needing a guardian.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Position the client with her knees flexed and legs apart. This should be done first to provide proper access to the urethral meatus for catheter insertion. Flexing the knees and spreading the legs helps relax the pelvic muscles and facilitates the insertion process. Cleansing the meatus (choice
C) should be done after positioning the client. Lubricating the catheter (choice
A) comes after the meatus is cleansed. Attaching a prefilled syringe (choice
B) is the final step after the catheter is inserted.
Question 5 of 5
A nurse is teaching a client who has a new prescription for levothyroxine (T4) about thyrotoxicosis. The nurse should instruct the client to monitor and report which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Fever. Thyrotoxicosis is a condition characterized by excessive thyroid hormone levels, leading to symptoms such as increased metabolism and body temperature, which can manifest as fever. The client should monitor and report fever as it may indicate worsening of the condition. Weight gain (
A) is not typically associated with thyrotoxicosis, as it usually causes weight loss. Bradycardia (
B) is a symptom of hypothyroidism, not thyrotoxicosis. Drowsiness (
D) is also not a common symptom of thyrotoxicosis, which is more likely to cause insomnia or restlessness.