ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Monitor the client's temperature every 4 hr. Neutropenia puts the client at high risk for infection due to low neutrophil count. Monitoring temperature helps detect early signs of infection.
Choice A is incorrect as sterile technique is required to prevent infection.
Choice B is incorrect as healthy visitors can introduce infections.
Choice C is incorrect as frequent room cleaning can disrupt the client's protective environment.
Question 2 of 5
A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will position my baby at a 45-degree angle in the car seat." This response indicates understanding of car seat safety for newborns. Newborns should be positioned at a 45-degree angle to prevent their head from flopping forward and compromising their airway. Placing the baby at this angle helps maintain an open airway and ensures proper breathing.
Choice A is incorrect because rear-facing car seats are recommended until at least age 2.
Choice B is incorrect because the retainer clip should be positioned at armpit level.
Choice C is incorrect because shoulder harness straps should be at or below the baby's shoulders for proper fit.
Question 3 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 4 of 5
A nurse is evaluating the progress of a school-age child who takes methylphenidate. Which of the following findings indicates the effectiveness of the medication?
Correct Answer: A
Rationale: The correct answer is A: Decreased impulsiveness. Methylphenidate is commonly used to treat ADHD by improving focus and reducing impulsivity. Decreased impulsiveness indicates that the medication is effectively managing the symptoms. B, C, and D are incorrect as they are not directly related to the expected outcomes of methylphenidate therapy. Decreased abdominal pain (
B) and increased appetite (
C) are not typical indicators of methylphenidate effectiveness, and increased urine output (
D) is not a common side effect or indicator of its therapeutic effect.
Question 5 of 5
A nurse is teaching a class of newly licensed nurses about infectious diseases that nurses are required to report to the health department. Which of the following diseases should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Pulmonary tuberculosis. This disease is required to be reported to the health department due to its highly contagious nature and potential for public health implications. Tuberculosis is transmitted through the air, making it a significant risk to the community. Reporting cases to the health department allows for proper monitoring, treatment, and prevention of further spread.
Choices B, C, and D are not required to be reported as they are not highly contagious or pose a significant public health threat compared to tuberculosis. Fibromyalgia syndrome is a chronic pain condition, Herpes simplex virus is common and not reportable, and Methicillin-resistant Staphylococcus aureus, while concerning, is typically managed within healthcare facilities and does not require reporting to the health department for public health monitoring.