ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is verifying how a client who is postpartum will use a car seat for her newborn. Which of the following statements should the nurse identify as an indication that the client understands the safe use of a car seat?
Correct Answer: A
Rationale: The correct answer is A: "I'll place him in the back seat facing the back seat." This is the correct choice because placing the newborn in the back seat facing the back seat is the safest position as recommended by car seat safety guidelines. Placing the newborn in the front seat (choices B and
D) is dangerous due to the presence of airbags, which can cause harm to the baby in case of an accident.
Choice C is incorrect as placing the baby facing the back of the front seat is not a recommended position.
Therefore, choice A is the safest option for the newborn's well-being during car travel.
Question 2 of 5
A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?
Correct Answer: A
Rationale: The correct answer is A: Suctioning device. During a seizure, a client may experience excessive saliva or vomit, which can lead to airway obstruction. Having a suctioning device readily available allows the nurse to quickly clear the airway and maintain adequate oxygenation.
Choice B, a bite block, is not recommended as it can lead to injury or obstruction.
Choice C, a vest restraint, is not appropriate as restraints should only be used as a last resort due to safety concerns.
Choice D, a padded tongue blade, is not necessary for seizure precautions and can pose a risk of injury.
Question 3 of 5
A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?
Correct Answer: C
Rationale: The correct answer is C: Use a product with DEET on your skin and clothes when you are walking in a wooded area. This statement is important because DEET is an effective insect repellent that can help prevent tick bites, which are the primary mode of transmission for Lyme disease. Using DEET can reduce the risk of getting infected.
Choice A is incorrect because symptoms of Lyme disease typically appear 3 to 30 days after a tick bite, not 2 days.
Choice B is incorrect because testing for Lyme disease should occur if symptoms develop, not within a specific timeframe.
Choice D is incorrect because squeezing an embedded tick with tweezers can lead to the tick's body being crushed and increase the risk of disease transmission.
Question 4 of 5
A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride IV at 500 mL/hr for 3 hr, then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 mL/hr for 2 hr. What is the total volume the nurse should document for the client's IV fluid intake? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2250
Rationale: The correct answer is 2250.
To calculate the total volume, you add the volumes from each rate: 0.45% sodium chloride at 500 mL/hr for 3 hr (500*3=1500 mL), then at 200 mL/hr for 3 hr (200*3=600 mL), and finally dextrose 5% in water at 75 mL/hr for 2 hr (75*2=150 mL). Adding these together (1500+600+150=2250 mL) gives the total fluid intake. The other choices are incorrect as they do not accurately calculate the total volume based on the rates and durations provided.
Question 5 of 5
A nurse is reviewing the medication administration record of a client who is to undergo excretory urography using contrast dye. The nurse should plan to withhold which of the following medications 24 to 48 hr before the procedure?
Correct Answer: B
Rationale: The correct answer is B: Metformin. This medication should be withheld before excretory urography as contrast dye can affect kidney function, leading to a risk of lactic acidosis when combined with metformin. Acetaminophen (
A) does not interact with contrast dye. Atenolol (
C) and prednisone (
D) are not contraindicated for this procedure. In summary, metformin should be withheld to prevent lactic acidosis, while the other options do not pose the same risk.