ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is teaching a class about using niacin to reduce LDL cholesterol. The nurse should include in the teaching that which of the following conditions is a contraindication for receiving this medication?
Correct Answer: B
Rationale: The correct answer is B: Active liver disease. Niacin can cause liver toxicity, including liver damage and abnormal liver function tests. Patients with active liver disease are at an increased risk of experiencing severe liver complications when taking niacin.
Therefore, it is a contraindication for receiving this medication. Asthma (choice
A), hyperthyroidism (choice
C), and high blood pressure (choice
D) are not contraindications for niacin use. Asthma and hyperthyroidism are not directly affected by niacin, and niacin can actually help lower blood pressure.
Question 4 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.
Question 5 of 5
A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Herpes zoster. Older adults are at higher risk for developing shingles, caused by the varicella-zoster virus. The herpes zoster vaccine helps prevent shingles and its complications in this age group. Option B (DTaP) is usually given to children, not older adults. Option C (HPV) primarily targets younger individuals for prevention of cervical cancer. Option D (Rotavirus) is given to infants to prevent severe diarrhea. Vaccine options E, F, and G are not provided in the question. In summary, the herpes zoster vaccine is recommended for older adults due to their increased risk of shingles, making it the most appropriate choice among the options provided.