ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for tetracycline. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Light sensitivity is an adverse effect of this medication. Tetracycline can cause photosensitivity, making the skin more sensitive to sunlight and increasing the risk of sunburn or skin damage. This information is crucial for the client to prevent potential harm.
A: Taking tetracycline with milk can decrease its absorption, so it should be avoided.
B: There is no specific instruction to take tetracycline at bedtime.
C: Constipation is not a common adverse effect of tetracycline.
In summary, choice D is correct because it addresses a significant adverse effect of the medication, while the other choices are either incorrect or irrelevant to tetracycline therapy.
Question 2 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 3 of 5
A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: B
Rationale: The correct answer is B: Padded clamp. This equipment is necessary for managing the chest tube, which helps drain air or fluid from the pleural space after a thoracotomy. The padded clamp is used to temporarily occlude the tube during dressing changes or when the system needs to be disconnected. Wire cutters (
A) are not typically needed for chest tube care. Montgomery straps (
C) are used for securing dressings, not for chest tube management. Tracheostomy tray (
D) is unrelated to thoracotomy care.
Extract:
Vital Signs
2000:
Temperature 36.7° C (98.1° F)
Heart rate 98/min
Respiratory rate 20/min
Blood pressure 128/84 mm Hg
Oxygen saturation 98% on room air
Nurses' Notes
2000:
Client is 38-year-old, G4 P3 at 38 weeks of gestation. Presents for evaluation of labor and spontaneous rupture of membranes (SROM). Client states, "My water broke a couple of hours ago and is a greenish color." Client also reports contractions began about 4 hr ago and have become consistently stronger and closer together.
Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad. Contraction palpated, lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min. Vaginal examination performed: cervix 4 cm dilated, 70% effaced, 0 station, vertex presentation.
Client reports a history of chronic hypertension that has been well-controlled during this pregnancy. Also states was diagnosed with gestational diabetes at 28 weeks of gestation.
2020:
Question 4 of 5
A nurse in an antepartum unit is caring for a client. For each potential intervention, click to specify if the intervention is anticipated or contraindicated for the client: A. Initiate an IV infusion of lactated Ringer's, B. Place the client in a left lateral position, C. Monitor blood pressure every hour, D. Maintain continuous monitoring of the FHR.
Correct Answer: A,B,D
Rationale:
Correct Answer: A,B,D
Rationale:
A. Initiate an IV infusion of lactated Ringer's: Anticipated because IV fluids help maintain hydration and electrolyte balance, crucial for the pregnant client.
B. Place the client in a left lateral position: Anticipated as this position improves blood flow to the placenta and reduces pressure on the vena cava, enhancing fetal oxygenation.
C. Monitor blood pressure every hour: Not contraindicated, but it is not explicitly stated in the question that it is needed, so it is not the best choice compared to the other options.
D. Maintain continuous monitoring of the FHR: Anticipated as it provides vital information about fetal well-being and helps detect any potential issues promptly.
Extract:
Question 5 of 5
A nurse is assessing a client who has dehydration due to prolonged diarrhea. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Dehydration leads to reduced blood volume, causing hypotension. This occurs due to decreased fluid levels in the body, resulting in lowered blood pressure. Bradycardia (
A) is less likely as the body compensates by increasing the heart rate. Edema (
B) is incorrect as dehydration causes fluid loss, leading to decreased tissue fluid. Crackles (
D) are associated with fluid in the lungs, which is not a common finding in dehydration.