ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a client who has hypothyroidism. The client's calcium level is 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Muscle twitching. In hypothyroidism, low thyroid hormone levels can lead to hypocalcemia, causing muscle twitching due to increased neuromuscular excitability. B: Hypertension is not typically associated with hypothyroidism. C: Bounding pulse is more indicative of hyperthyroidism. D: Hypoactive bowel sounds are not directly related to hypothyroidism.
Question 2 of 5
A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. Acute epiglottitis is a medical emergency that can lead to airway obstruction. The nurse should assess this child first to ensure airway patency. Drooling is a sign of difficulty swallowing and impending airway compromise. The nurse should act promptly to prevent respiratory distress.
Choices B, C, and D do not present immediate life-threatening conditions that require urgent assessment. Bright red blood in urine in a child with a UTI may indicate a more severe infection, but it does not require immediate intervention like airway management. Severe fatigue in a child with mononucleosis and an abdominal mass in a child with Wilms' tumor are concerning, but they do not pose immediate threats to the child's airway.
Question 3 of 5
A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?
Correct Answer: C
Rationale: The correct answer is C: Use a product with DEET on your skin and clothes when you are walking in a wooded area. This statement is important because DEET is an effective insect repellent that can help prevent tick bites, which are the primary mode of transmission for Lyme disease. Using DEET can reduce the risk of getting infected.
Choice A is incorrect because symptoms of Lyme disease typically appear 3 to 30 days after a tick bite, not 2 days.
Choice B is incorrect because testing for Lyme disease should occur if symptoms develop, not within a specific timeframe.
Choice D is incorrect because squeezing an embedded tick with tweezers can lead to the tick's body being crushed and increase the risk of disease transmission.
Question 4 of 5
A nurse is teaching a class of newly licensed nurses about infectious diseases that nurses are required to report to the health department. Which of the following diseases should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary tuberculosis. Tuberculosis is a highly contagious infectious disease that is required to be reported to the health department due to its potential for rapid spread in the community. Reporting helps in controlling the spread of the disease and initiating timely treatment for affected individuals. Methicillin-resistant Staphylococcus aureus (
A) is an antibiotic-resistant bacterium that may not require mandatory reporting. Herpes simplex virus (
C) is a common viral infection that is not typically reportable to the health department. Fibromyalgia syndrome (
D) is a chronic pain condition and not an infectious disease that requires reporting.
Question 5 of 5
A nurse is teaching a client who has generalized anxiety disorder about ways to help manage stress. Which of the following instructions should the nurse give the client about using progressive relaxation?
Correct Answer: D
Rationale: The correct answer is D: Tighten a muscle group, then release the tension and move to the next one. This technique is known as progressive muscle relaxation, where the client systematically tenses and relaxes muscle groups to reduce physical tension and promote relaxation. By engaging in this process, the client becomes more aware of the physical sensations associated with stress and learns to release tension deliberately. This practice helps to bring about a state of deep relaxation and can be an effective tool in managing stress and anxiety.
Incorrect choices:
A: Picture taking the stress you feel and pushing it down and out of your feet - This choice involves visualization, not progressive relaxation.
B: Focus on a pleasant memory and express your emotions in writing - This choice focuses on emotional expression rather than physical tension release.
C: Think about a positive outcome to a stressful situation - This choice involves cognitive reframing, not muscle relaxation.
In summary, only choice D aligns with the technique of progressive muscle relaxation for stress management.