ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to care for his behind-the-ear hearing aids. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I'll disconnect the battery when I remove my hearing aids." This statement indicates an understanding of proper care because disconnecting the battery helps conserve battery life and prevents corrosion. Isopropyl alcohol (choice
A) is not recommended as it can damage the hearing aid. Replacing batteries every 2 weeks (choice
B) is a general guideline and may not be necessary if the batteries are still functioning. Cleaning the ear with cotton swabs (choice
D) can push wax further into the ear canal, potentially damaging the hearing aid.
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 nurse is caring for a client who has a three-chamber chest tube system. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ensure 2 cm (0.8 in) of water is in the water seal chamber. This is important to maintain the water seal, which prevents air from entering the pleural space. If the water level is too low, the system may not function properly. Emptying the collection chamber every 8 hr (choice
A) is incorrect because it depends on the amount of drainage, not a fixed time frame. Checking the patency of the tubing every 2 hr (choice
B) is unnecessary and may introduce unnecessary contamination. Keeping the drainage system above the level of the client's chest (choice
C) is incorrect as it may cause backflow of drainage.
Question 4 of 5
A home health nurse is planning care for an older adult client who has vision loss and takes medications throughout the day. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Use container lids of different shapes to indicate times of administration. This option promotes medication adherence for the client with vision loss by providing a tactile cue for different medication times. Rearranging furniture (
A) does not directly address medication management. Covering appliance cords with throw rugs (
C) poses a safety hazard. Visiting the client once per month (
D) is not frequent enough for proper medication monitoring.
Question 5 of 5
A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Option B indicates understanding as pushing a button when the baby moves is a correct action during nonstress testing. This response shows awareness of the test's purpose to monitor fetal movement and heart rate.
Incorrect
Choices:
A: Incorrect because eating or drinking is not restricted during nonstress testing.
C: Incorrect because oxytocin is not typically administered during nonstress testing.
D: Incorrect because nonstress testing does not determine genetic problems, but rather assesses fetal well-being based on heart rate and movement.