ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is reviewing the results of laboratory tests a client had as part of a comprehensive nutritional assessment. Which of the following results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Albumin 2.2 g/dL. Low albumin levels can indicate malnutrition or liver disease, which are crucial for nutritional assessment.
Total cholesterol (
B) and calcium (
D) levels are not directly related to nutritional status.
Total thyroxine (
C) levels are related to thyroid function, not nutritional assessment.
Choices E, F, and G are not given.
Therefore, the nurse should report the low albumin level for further evaluation and intervention.
Question 2 of 5
A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer the mixture within 5 min of preparing it. This is important because regular insulin should always be drawn up before NPH insulin due to the risk of contaminating the regular insulin with NPH. Administering the mixture promptly ensures the insulin remains stable and effective.
Choice A is incorrect because shaking the vials can cause air bubbles and lead to inaccurate dosing.
Choice C is incorrect as NPH insulin should be drawn up after regular insulin to avoid contamination.
Choice D is incorrect as air should be injected into the vial after withdrawing insulin to prevent creating a vacuum.
Question 3 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: D
Rationale: The correct answer is D. When a client has a peripherally inserted central catheter (PIC
C) in the right arm, blood pressure should not be taken on that side to avoid potential damage to the catheter or disrupting the infusion. It is crucial to protect the integrity and function of the PICC line by avoiding any procedures that could cause harm.
Choice A is incorrect because a right hemisphere stroke does not necessitate avoiding blood pressure measurements on the right arm.
Choice B is incorrect as using an arteriovenous shunt in the left lower forearm does not mandate avoiding blood pressure measurements on the right arm.
Choice C is incorrect because having blood drawn from the antecubital area does not impact blood pressure measurements on the contralateral arm.
In summary, the correct answer, D, is based on the need to protect the PICC line, while the other choices do not present a valid reason for avoiding blood pressure measurements on the right arm.
Question 4 of 5
A nurse is planning to administer packed RBCs to an older adult client who has a low hemoglobin level. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Infuse the transfusion over 5 hr. This is the correct action because older adults are more susceptible to adverse reactions during blood transfusions. Slow infusion over 5 hours reduces the risk of circulatory overload and other complications.
Choice B is incorrect because dextrose solution is not recommended for blood transfusions.
Choice C is incorrect as a larger gauge IV catheter, typically 18 or 19 gauge, is recommended for transfusing blood products.
Choice D is incorrect as vital signs should be monitored every 15 minutes for the first hour and then every 30 minutes for the remainder of the transfusion, not hourly.
Question 5 of 5
A nurse is caring for a client who is 12 hr postoperative following a below-the-knee amputation. Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to use an overbed trapeze to move around in bed. This intervention promotes client independence and mobility while reducing the risk of complications such as pressure ulcers and venous thromboembolism. Using an overbed trapeze allows the client to reposition themselves safely without undue strain on the residual limb. Placing the client on an air mattress (
A) may help with pressure redistribution but does not address mobility needs. Rewrapping the bandage every 8 hr in a circular pattern (
B) can cause constriction and compromise circulation. Turning the client every 4 hr while in bed (
C) is important for preventing pressure ulcers but does not address mobility.