ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is speaking with a client during a counseling session who states, 'I feel like I am sliding off a cliff.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "You must be feeling very frightened right now." This acknowledges the client's emotions without making assumptions about the cause or offering unsolicited advice. It shows empathy and validates the client's feelings, which is essential in counseling.
Choice A is too vague and does not address the client's emotional state.
Choice B puts the client on the spot and may come off as confrontational.
Choice D is dismissive and invalidates the client's emotions by suggesting they simply think positively. By choosing option C, the nurse demonstrates active listening and creates a supportive environment for the client to express their feelings further.
Question 2 of 5
A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?
Correct Answer: D
Rationale: The correct answer is D: "I know the provider will replace the lens in my eyes during this procedure." This statement indicates an understanding of the cataract removal procedure, as it involves replacing the cloudy lens with an artificial one. It shows knowledge of the specific aspect of the surgery.
A: General anesthesia is not typically used for cataract removal; local anesthesia is more common.
B: Seeing dark spots in vision is not a typical postoperative expectation for cataract removal.
C: Bruising of the eyelids is not a direct result of cataract removal.
Therefore, D is the most appropriate response as it aligns with the procedure's objective.
Question 3 of 5
A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
Correct Answer: C
Rationale: The correct answer is C: The child was brought to the ED 2 days after the injury occurred. This delay in seeking medical attention for a fractured arm raises concerns about potential child maltreatment. Delayed medical care can indicate neglect or intentional harm. This warrants further investigation by the nurse to ensure the child's safety.
Choice A is incorrect because it is common for guardians to accompany children to medical procedures.
Choice B is common in accidental injuries and does not necessarily indicate maltreatment.
Choice D is a normal response to pain and does not directly suggest maltreatment.
Question 4 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Place a vibrating tuning fork on the top of the child's head. This is because the Weber's test involves placing a vibrating tuning fork on the midline of the patient's head to assess hearing acuity. In this test, the sound should be equally heard in both ears if the hearing is normal. Placing the tuning fork on the head allows for sound conduction through bone, which helps determine if there is a conductive or sensorineural hearing loss.
Choice A is incorrect as a выбираogram reading is not necessary for the Weber's test.
Choice C is incorrect as the tuning fork should be in contact with the head, not held away from the ears.
Choice D is incorrect as the Weber's test does not involve measuring how long the sound is heard.
Question 5 of 5
A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Dizziness. Losartan is an angiotensin II receptor blocker used to treat hypertension. Dizziness is a common adverse effect due to its blood pressure-lowering effect. Hypertension (
A) is the opposite of an adverse effect. Double vision (
C) and hyperactivity (
D) are not typically associated with losartan. The nurse should monitor for dizziness as it can lead to falls and injury.