ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: White fish. White fish is a low-fat protein source that is gentle on the stomach and less likely to trigger acid reflux compared to other protein sources like red meat. It is also less acidic, making it a suitable choice for someone with GERD. Decaffeinated coffee (
A) can still trigger acid reflux due to its acidity.
Tomato soup (
B) is high in acidity and may exacerbate GERD symptoms. Hot cocoa (
D) is also acidic and can worsen GERD. In summary, white fish is the best option for someone with GERD due to its low fat and low acidity content.
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
2100:
Temperature 37.5° C (99.5° F)
Heart rate 104/min
Respiratory rate 20/min
Blood pressure 132/84 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:
Contractions occurring every 4 to 5 min, lasting 40 to 60
seconds. Small amount of bloody show noted when changing disposable pad on bed. Client rates contraction pain as a 5 on a scale of 0 to 10, breathing well through contractions. FHR 168/min, minimal variability. Client denies epigastric pain or
Question 2 of 5
A nurse in an antepartum unit is caring for a client. Which of the following actions should the nurse take?
Correct Answer: A,C,D,F,G
Rationale: The correct actions for the nurse to take are A, C, D, F, and G. Administering oxygen at 10L/min via a nonrebreather face mask is important for respiratory support. Initiating a bolus of IV fluid helps maintain adequate hydration and perfusion. Assisting the client to the left lateral position promotes optimal blood flow to the fetus. Notifying the provider of the client's condition ensures timely intervention. Lastly, preparing to administer an amnioinfusion may be necessary based on the client's condition. These actions prioritize the client's respiratory, circulatory, and fetal well-being. Other choices like requesting hydralazine or oxytocin may not be indicated without proper assessment and prescription.
Extract:
Question 3 of 5
A nurse is providing teaching to a group of clients about complementary and alternative therapies using herbs. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I can use chamomile tea to promote sleep"
Rationale: Chamomile is known for its calming properties and can help promote relaxation and improve sleep quality. This statement shows an understanding of using herbs for specific purposes, aligning with complementary and alternative therapies.
Summary of Incorrect
Choices:
B: Herbal medicines can interact with conventional medications, leading to potential adverse effects.
C: While ginger can help with nausea and inflammation, it is not typically used for headaches.
D: Herbal medicines are not regulated by the FDA, which can lead to variations in quality and safety.
Question 4 of 5
A nurse is teaching a client who is postpartum about caring for their newborn's umbilical cord. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Wash the area around the base of the cord with water. This instruction is essential for maintaining hygiene and preventing infection. Washing the area with water helps keep it clean without introducing potential irritants or pathogens. It is important to avoid using alcohol or other substances that may delay healing or cause irritation.
Choices B, C, and D are incorrect. B: Covering the cord with the upper edge of the diaper can trap moisture, leading to infection. C: Reporting minor bleeding when the cord's stump falls off is normal and expected. D: Applying petroleum jelly can create a moist environment that promotes bacterial growth.
Question 5 of 5
A nurse is caring for a client who is postpartum and expresses concern about how her preschool-age son will react to having a baby sister. Which of the following strategies should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Give your son a little gift from his new sister. This strategy helps foster sibling bonding by creating a positive association between the siblings. It acknowledges the son's feelings and helps him feel included and special. It also promotes a sense of connection between the siblings from the beginning.
A: Plan for your son to meet his sister for the first time at home - This may be overwhelming for the son and doesn't address his concerns or help establish a positive relationship.
B: Give your son plenty of 'alone time' with his sister - While important for bonding, this doesn't directly address the son's concerns or help him feel more comfortable.
D: Hold your daughter when your son first meets her - This doesn't actively involve the son in the introduction and may not address his anxieties about the situation.