ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 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 2 of 5
A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: B
Rationale: The correct answer is B: Padded clamp. This equipment is necessary for managing the chest tube, which helps drain air or fluid from the pleural space after a thoracotomy. The padded clamp is used to temporarily occlude the tube during dressing changes or when the system needs to be disconnected. Wire cutters (
A) are not typically needed for chest tube care. Montgomery straps (
C) are used for securing dressings, not for chest tube management. Tracheostomy tray (
D) is unrelated to thoracotomy care.
Question 3 of 5
A nurse is assessing a client who is in mechanical restraints after hitting a staff member. Which of the following findings indicates that the nurse should discontinue the restraints?
Correct Answer: C
Rationale: The correct answer is C: The client is able to calmly follow commands. This indicates that the client is able to control their behavior and is no longer a danger to themselves or others. Discontinuing restraints at this point is appropriate to promote the client's autonomy and dignity.
Choice A is incorrect as the duration of restraint alone does not determine when to discontinue.
Choice B, while important for understanding the client's behavior, does not directly indicate readiness to discontinue restraints.
Choice D is concerning and should be addressed but does not solely warrant discontinuation of restraints.
Question 4 of 5
A nurse in an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: A client who is at 34 weeks of gestation and reports double vision. This client should be assessed first because double vision can be a symptom of preeclampsia, a serious condition characterized by high blood pressure and signs of organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed.
Therefore, it is crucial to assess this client immediately to rule out preeclampsia and provide appropriate intervention.
Choice B is incorrect because leg cramps are common discomforts in late pregnancy and do not indicate an urgent issue.
Choice C is incorrect because excessive salivation, known as ptyalism, is typically benign and does not require immediate attention.
Choice D is incorrect as periodic finger numbness is not a common sign of a serious condition in pregnancy.
In summary, the client reporting double vision at 34 weeks of gestation should be assessed first due to the potential severity of the underlying
Question 5 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.