ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is receiving change-of-shift report for four clients. For which of the following clients should the nurse initiate seizure precautions?
Correct Answer: B
Rationale: The correct answer is B: A child who has bacterial meningitis. Seizure precautions should be initiated for this client due to the risk of seizures associated with meningitis. Bacterial meningitis can lead to increased intracranial pressure, inflammation of the brain, and potential neurological complications, all of which can trigger seizures. Seizure precautions are necessary to prevent injury during a seizure episode.
Incorrect options:
A: An infant with respiratory syncytial virus does not typically require seizure precautions as RSV primarily affects the respiratory system.
C: An infant with hypertrophic pyloric stenosis may not be at immediate risk of seizures unless there are complications.
D: A child with Kawasaki disease typically does not present with seizures as a primary symptom.
Question 2 of 5
A nurse is teaching a client who has a new prescription for tetracycline. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Light sensitivity is an adverse effect of this medication. Tetracycline can cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn or skin damage. This information is crucial for the client to prevent potential harm.
A: Taking tetracycline with milk can decrease its absorption, so it should be avoided.
B: There is no specific instruction to take tetracycline at bedtime.
C: Constipation is not a common adverse effect of tetracycline.
In summary, choice D is correct because it addresses a significant adverse effect of the medication, while the other choices are either incorrect or irrelevant to tetracycline therapy.
Question 3 of 5
A nurse is performing an eye examination on a client. Which of the following findings should indicate to the nurse that the client might have cataracts?
Correct Answer: A
Rationale:
Correct Answer: A - A bluish-white colored pupil
Rationale: A bluish-white colored pupil can indicate the presence of cataracts, which cause clouding of the lens in the eye, leading to changes in pupil color. This finding is specific to cataracts.
Summary of Incorrect
Choices:
B: Decrease in peripheral vision - More indicative of conditions like glaucoma or retinal detachment.
C: Increased intraocular pressure - Suggestive of glaucoma, not cataracts.
D: Loss of central vision - Related to conditions like macular degeneration, not cataracts.
Question 4 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: D
Rationale: The correct answer is D: Frequent swallowing. This is the priority finding as it could indicate bleeding after tonsillectomy, which is a potential complication requiring immediate attention. Dark brown emesis (choice
B) could also indicate bleeding but is less specific. Sore throat (choice
A) is expected post-operatively. Blood-tinged mucus (choice
C) can be common after tonsillectomy.
Therefore, the priority is to assess for signs of bleeding, which is most indicative by frequent swallowing.
Question 5 of 5
A nurse is implementing crisis intervention for a client following an incident of partner violence. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Initiate precautions to safeguard the client from physical harm. This is the priority action because ensuring the client's safety is paramount in crisis intervention. By taking precautions to safeguard the client from physical harm, the nurse addresses the immediate risk of harm and creates a secure environment for further interventions.
Choice A: Helping the client identify effective coping skills is important, but physical safety takes precedence in a crisis situation.
Choice C: Identifying support systems is valuable, but ensuring physical safety is more urgent.
Choice D: Encouraging the client to express feelings is essential, but safety concerns must be addressed first in cases of partner violence.
In summary, the nurse should prioritize safeguarding the client from physical harm to establish a foundation for further support and interventions.