ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?
Correct Answer: B
Rationale: The correct answer is B: You might feel a bit confused for a few hours after the procedure. This is correct because confusion is a common side effect of electroconvulsive therapy (ECT) due to the temporary disruption of brain function. Clients may experience memory loss, disorientation, and confusion post-procedure.
Choice A is incorrect as voice changes are not typically associated with ECT.
Choice C is incorrect as clients usually wake up shortly after the procedure, not 30 minutes later.
Choice D is incorrect as pulsations in the neck are not a common side effect of ECT.
Question 2 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.
Question 3 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 4 of 5
A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Irritability. Cocaine exposure in utero can lead to central nervous system stimulation in newborns, causing irritability. This is due to the drug's impact on neurotransmitters. Increased head circumference and decreased auditory startle response are not typically associated with cocaine exposure. Hypotonicity is more commonly seen in infants exposed to substances like opioids. The key here is to recognize the stimulant effects of cocaine on the central nervous system.
Question 5 of 5
A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Sip carbonated beverages throughout the day. Carbonated beverages can help alleviate heartburn by promoting burping and reducing stomach acidity. This is beneficial for managing heartburn during pregnancy without causing harm to the fetus.
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back up the esophagus.
B: Eating a high-fat snack at bedtime can trigger heartburn due to delayed digestion and increased stomach acid production.
D: Hot herbal tea may aggravate heartburn symptoms as it can relax the lower esophageal sphincter, allowing acid to reflux.
Overall, option C is the most appropriate choice for managing heartburn during pregnancy.