ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is reviewing a client’s laboratory results prior to administering medications. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: SpO2 88%. This finding indicates low oxygen saturation levels, which can be life-threatening and require immediate medical attention. Oxygen saturation below 90% is considered critically low and can lead to hypoxemia. Reporting this to the provider promptly is crucial to ensure appropriate interventions are implemented to improve oxygenation.
A: Temperature within normal range.
B: Respiratory rate slightly elevated but not critical.
D: pH slightly low but not immediately life-threatening.
Question 4 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.
Question 5 of 5
A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: You should wear a snug-fitting bra continuously for 72 hours.
Rationale: Wearing a snug-fitting bra provides support and pressure on the breasts, which helps to suppress lactation. This continuous pressure helps to decrease milk production by limiting the milk ducts' ability to refill. By wearing the bra for 72 hours, the client can effectively suppress lactation.
Summary of other choices:
B: Applying moist heat to the breasts can actually stimulate milk production rather than suppress it.
C: Limiting fluid intake to 1 liter per day is not recommended as it can lead to dehydration and does not directly impact lactation suppression.
D: Manually expressing milk when engorgement occurs can stimulate further milk production, which goes against the goal of lactation suppression.