ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Assessment
1900:
Client presents to the emergency department with a shoulder injury that occurred during a soccer game. Client is unable to elevate or extend their right arm. Client reports pain as 7 on a scale of 0 to 10. Client reports no significant past medical, surgical, or family history.
2000:
Emergency provider, respiratory therapist, and RN at bedside for reduction of right shoulder. Medications administered as prescribed.
Plan of Care
2000:
Plan for moderate sedation for right shoulder reduction.
Question 1 of 5
The nurse should prepare to administer _____ and _____ for a client undergoing shoulder reduction.
Correct Answer: B,C
Rationale: The correct answer is B,C. Naloxone is administered to reverse any opioid-induced respiratory depression during the reduction procedure. Oxygen by face mask at 10 L/min is essential to ensure adequate oxygenation during the procedure. Acetaminophen (choice
A) is a pain reliever but not necessary for this procedure. Fentanyl (choice
D) and propofol (choice E) are potent sedatives that are not typically used for shoulder reduction.
Extract:
Question 2 of 5
A nurse is caring for a client who is 2 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: 4+ deep-tendon reflexes. Postpartum women may experience hyperactive deep-tendon reflexes, which could indicate preeclampsia or eclampsia. The nurse should report this finding promptly to the provider for further evaluation and management. Scant lochia rubra with a few small clots (
A) is expected in the early postpartum period. Urine output of 2,500 mL/day (
B) is within normal range. Bilateral ankle edema (
C) can be common postpartum due to fluid shifts.
Therefore, it is not a concerning finding.
Question 3 of 5
A nurse observes two assistive personnel (AP) discussing a client's information in the facility cafeteria. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remind the AP about maintaining client confidentiality. The nurse should address the issue directly with the AP to reinforce the importance of maintaining client confidentiality. This action helps educate the AP on proper conduct and ensures compliance with privacy regulations.
Choices B, C, and D are incorrect because they do not address the immediate issue at hand and may escalate the situation unnecessarily. Notifying the client could breach confidentiality further, involving the ethics committee may be premature, and filing an incident report without addressing the behavior directly may not prevent future violations.
Question 4 of 5
A nurse is providing dietary teaching to the guardian of a preschooler who has celiac disease. Which of the following foods should the nurse recommend including in the preschooler's diet?
Correct Answer: C
Rationale: The correct answer is C: A corn tortilla with black beans. This recommendation is appropriate for a preschooler with celiac disease because corn tortillas are typically gluten-free, which is essential for individuals with celiac disease. Black beans are a good source of protein and fiber, which are important for a balanced diet. Rye bread (
Choice
A) and whole wheat pasta (
Choice
B) contain gluten, which should be avoided by individuals with celiac disease. Barley in vegetable soup (
Choice
D) also contains gluten. It is important to choose gluten-free options to prevent adverse effects on the preschooler's health.
Question 5 of 5
A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: B
Rationale: The correct answer is B: Dizziness. Losartan is an angiotensin II receptor blocker used to treat hypertension. Dizziness is a common adverse effect due to its blood pressure-lowering effect. Hypertension (
A) is the opposite of an adverse effect. Double vision (
C) and hyperactivity (
D) are not typically associated with losartan. The nurse should monitor for dizziness as it can lead to falls and injury.