ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam 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: C
Rationale: The correct answer is C: You might feel a bit confused for a few hours after the procedure. This is because confusion is a common side effect of electroconvulsive therapy (ECT) due to the temporary disruption of cognitive functions. The confusion typically resolves within a few hours post-procedure.
Choice A is incorrect because feeling pulsations in the neck is not a typical sensation experienced during ECT.
Choice B is incorrect as the client usually wakes up shortly after the procedure, not 30 minutes later.
Choice D is incorrect as changes in voice are not a common side effect of ECT.
Question 2 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.
Question 3 of 5
A nurse is implementing crisis intervention for a client following an incident of partner violence. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Initiate precautions to safeguard the client from physical harm. This is the priority action because ensuring the client's safety is paramount in crisis intervention. By taking precautions to safeguard the client from physical harm, the nurse addresses the immediate risk of harm and creates a secure environment for further interventions.
Choice A: Helping the client identify effective coping skills is important, but physical safety takes precedence in a crisis situation.
Choice C: Identifying support systems is valuable, but ensuring physical safety is more urgent.
Choice D: Encouraging the client to express feelings is essential, but safety concerns must be addressed first in cases of partner violence.
In summary, the nurse should prioritize safeguarding the client from physical harm to establish a foundation for further support and interventions.
Question 4 of 5
A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Injecting air into the regular insulin vial before the NPH insulin vial prevents contamination. This technique avoids drawing NPH insulin into the regular insulin vial, which could alter the regular insulin's effectiveness. It also prevents air bubbles from being injected into the NPH vial, which could affect the accuracy of the NPH insulin dosage.
Summary of other choices:
A: Shaking both insulin vials before withdrawing doses can cause frothing and denaturation of insulin molecules, affecting their efficacy.
B: Administering the mixture within 5 minutes is not a recommended practice as it does not address the issue of potential contamination between the two insulins.
C: Withdrawing NPH insulin before regular insulin can lead to contamination and inaccurate dosages.
E, F, G: No information provided.
Question 5 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: C
Rationale: The correct answer is C: You might feel a bit confused for a few hours after the procedure. This is because confusion is a common side effect of electroconvulsive therapy (ECT) due to the temporary disruption of cognitive functions. The confusion typically resolves within a few hours post-procedure.
Choice A is incorrect because feeling pulsations in the neck is not a typical sensation experienced during ECT.
Choice B is incorrect as the client usually wakes up shortly after the procedure, not 30 minutes later.
Choice D is incorrect as changes in voice are not a common side effect of ECT.