ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?
Correct Answer: D
Rationale: The correct answer is D: "I know the provider will replace the lens in my eyes during this procedure." This statement indicates an understanding of the cataract removal procedure, as it involves replacing the cloudy lens with an artificial one. It shows knowledge of the specific aspect of the surgery.
A: General anesthesia is not typically used for cataract removal; local anesthesia is more common.
B: Seeing dark spots in vision is not a typical postoperative expectation for cataract removal.
C: Bruising of the eyelids is not a direct result of cataract removal.
Therefore, D is the most appropriate response as it aligns with the procedure's objective.
Question 3 of 5
A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
Correct Answer: C
Rationale: The correct answer is C: The child was brought to the ED 2 days after the injury occurred. This delay in seeking medical attention for a fractured arm raises concerns about potential child maltreatment. Delayed medical care can indicate neglect or intentional harm. This warrants further investigation by the nurse to ensure the child's safety.
Choice A is incorrect because it is common for guardians to accompany children to medical procedures.
Choice B is common in accidental injuries and does not necessarily indicate maltreatment.
Choice D is a normal response to pain and does not directly suggest maltreatment.
Question 4 of 5
A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states, 'I don't know what my surgery tomorrow is for.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B. The nurse should inform the provider that the client has questions about the surgery. This response is appropriate as it ensures the client's concerns are addressed by the healthcare provider who has the necessary expertise to provide detailed information about the upcoming procedure. It promotes effective communication between the client and the healthcare team, leading to a better understanding of the treatment plan.
Choice A is incorrect as simply noting the client's lack of understanding in the medical record does not address the client's immediate need for clarification.
Choice C is incorrect as it suggests discussing alternative treatment options, which may not be relevant if the surgery has already been scheduled.
Choice D is incorrect because the nurse should not provide detailed information about the procedure without involving the healthcare provider, who is responsible for explaining the specifics of the surgery to the client.
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.