ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding her newborn. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: You should wear a snug-fitting bra continuously for 72 hours.
Rationale: Wearing a snug-fitting bra provides support and pressure on the breasts, which helps to suppress lactation. This continuous pressure helps to decrease milk production by limiting the milk ducts' ability to refill. By wearing the bra for 72 hours, the client can effectively suppress lactation.
Summary of other choices:
B: Applying moist heat to the breasts can actually stimulate milk production rather than suppress it.
C: Limiting fluid intake to 1 liter per day is not recommended as it can lead to dehydration and does not directly impact lactation suppression.
D: Manually expressing milk when engorgement occurs can stimulate further milk production, which goes against the goal of lactation suppression.
Question 2 of 5
A nurse is teaching a client how to care for his behind-the-ear hearing aids. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I'll disconnect the battery when I remove my hearing aids." This statement indicates an understanding of proper care because disconnecting the battery helps conserve battery life and prevents corrosion. Isopropyl alcohol (choice
A) is not recommended as it can damage the hearing aid. Replacing batteries every 2 weeks (choice
B) is a general guideline and may not be necessary if the batteries are still functioning. Cleaning the ear with cotton swabs (choice
D) can push wax further into the ear canal, potentially damaging the hearing aid.
Question 3 of 5
A nurse is implementing crisis interventions for a client following an incidence of intimate partner abuse. 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 cases of intimate partner abuse. By implementing precautions immediately, the nurse can prevent further harm to the client. Helping the client identify effective coping skills (
A) can be important but not as urgent as ensuring safety. Assisting the client to identify support systems (
C) is crucial for long-term recovery, but safety takes precedence. Encouraging the client to express feelings (
D) is beneficial for emotional support but should come after ensuring physical safety.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Position the client with her knees flexed and legs apart. This should be done first to provide proper access to the urethral meatus for catheter insertion. Flexing the knees and spreading the legs helps relax the pelvic muscles and facilitates the insertion process. Cleansing the meatus (choice
C) should be done after positioning the client. Lubricating the catheter (choice
A) comes after the meatus is cleansed. Attaching a prefilled syringe (choice
B) is the final step after the catheter is inserted.
Question 5 of 5
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?
Correct Answer: B
Rationale: The correct answer is B: Bananas. This is because individuals allergic to latex may also exhibit cross-sensitivity to certain fruits such as bananas due to shared allergenic proteins. This phenomenon is known as latex-fruit syndrome. Bananas contain similar proteins to those found in latex, leading to potential allergic reactions in susceptible individuals. Almonds, strawberries, and hazelnuts are not commonly associated with latex cross-sensitivity.
Therefore, the nurse should prioritize assessing the child's potential sensitivity to bananas to ensure proper management and avoid potential allergic reactions.