ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory data for a client who has a new prescription for valproic acid. Which of the following baseline results should the nurse review prior to administering the first dose of the medication?
Correct Answer: D
Rationale: The correct answer is D: Liver function tests. Valproic acid is known to potentially cause liver toxicity.
Therefore, reviewing liver function tests before administering the medication is crucial to assess the baseline liver function and monitor for any potential adverse effects.
A: Potassium level - not directly related to valproic acid administration.
B: Thyroid function tests - not necessary for assessing the safety of starting valproic acid.
C: Uric acid level - not directly related to valproic acid administration.
Question 2 of 5
A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Sip carbonated beverages throughout the day. Carbonated beverages can help alleviate heartburn by promoting burping and reducing stomach acidity. This is beneficial for managing heartburn during pregnancy without causing harm to the fetus.
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back up the esophagus.
B: Eating a high-fat snack at bedtime can trigger heartburn due to delayed digestion and increased stomach acid production.
D: Hot herbal tea may aggravate heartburn symptoms as it can relax the lower esophageal sphincter, allowing acid to reflux.
Overall, option C is the most appropriate choice for managing heartburn during pregnancy.
Question 3 of 5
A nurse is reviewing the medication administration record of a client who is to undergo excretory urography using contrast dye. The nurse should plan to withhold which of the following medications 24 to 48 hr before the procedure?
Correct Answer: B
Rationale: The correct answer is B: Metformin. This medication should be withheld before excretory urography as contrast dye can affect kidney function, leading to a risk of lactic acidosis when combined with metformin. Acetaminophen (
A) does not interact with contrast dye. Atenolol (
C) and prednisone (
D) are not contraindicated for this procedure. In summary, metformin should be withheld to prevent lactic acidosis, while the other options do not pose the same risk.
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: C
Rationale: The correct answer is C: Frequent swallowing. This finding is the priority because it could indicate bleeding after a tonsillectomy, which is a potential complication requiring immediate intervention to prevent further complications like hemorrhage. Blood-tinged mucus (
B) and dark brown emesis (
D) are concerning but not as urgent as frequent swallowing. A sore throat (
A) is expected postoperatively and can be managed with pain medication. Other choices are not provided but would likely be less critical than monitoring for bleeding.
Question 5 of 5
A nurse is assessing a client who is receiving enteral feedings via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client's feedings?
Correct Answer: D
Rationale:
Correct Answer: D - Add water to the formula
Rationale: Hyperosmolar dehydration occurs when there is an excessive concentration of solutes in the body. By adding water to the formula, the nurse can dilute the concentration of solutes in the enteral feeding, helping to rehydrate the client and prevent further dehydration.
Summary of other choices:
A: Switching to a lactose-free formula is not directly related to treating hyperosmolar dehydration.
B: Repositioning the NG tube is important for preventing complications but does not address the dehydration issue.
C: Increasing the rate of formula delivery may worsen the dehydration by overwhelming the client's system.
E, F, G: No other choices are provided, but they would likely not be relevant to treating hyperosmolar dehydration.