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PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. A client receiving opiates for pain management was initially sedated but is no longer sedated after three days. What action should the nurse take?
- A. Initiate additional non-pharmacological pain management techniques.
- B. Notify the provider that a dosage adjustment is needed.
- C. No action is needed at this time.
- D. Contact the provider to request an alternate method of pain management.
Correct answer: C
Rationale: The correct answer is C: No action is needed at this time. Sedation from opiates commonly decreases as the body adjusts to the medication. It is a positive sign that the sedation has resolved, indicating the client is tolerating the current dosage well. Initiating additional non-pharmacological pain management techniques (Choice A) is unnecessary since the current pain management regimen is effective. Notifying the provider for a dosage adjustment (Choice B) is premature and not indicated when the sedation has resolved. Contacting the provider to request an alternate method of pain management (Choice D) is excessive and not warranted in this situation where the client is no longer sedated and the current pain management plan is effective.
2. A healthcare provider is preparing to administer a vaccine to a child. Which of the following should the provider verify?
- A. Allergy to eggs
- B. Previous vaccination history
- C. Family medical history
- D. Growth charts
Correct answer: B
Rationale: The healthcare provider should verify the child's previous vaccination history to ensure they are up to date with immunizations. This is important to prevent unnecessary or duplicate vaccinations and ensure the child is adequately protected against vaccine-preventable diseases. Checking for allergies to eggs is relevant for certain vaccines like the influenza vaccine but is not the top priority in this scenario. Family medical history and growth charts are not directly related to the administration of vaccines and are not as crucial as confirming the child's vaccination status.
3. A healthcare professional is assessing a client for signs of infection. Which of the following findings should the healthcare professional look for?
- A. Increased energy
- B. Fever
- C. Improved appetite
- D. Stable weight
Correct answer: B
Rationale: Corrected Question: A healthcare professional is assessing a client for signs of infection. The correct answer is 'Fever.' Fever is a common sign of infection and indicates an immune response to an invading pathogen. Increased energy (Choice A) is not typically associated with infection, as the body often feels fatigued when fighting an infection. Improved appetite (Choice C) and stable weight (Choice D) are not specific signs of infection and may not necessarily indicate the presence of an infectious process. Therefore, the healthcare professional should focus on monitoring for fever as a key indicator of infection.
4. A healthcare professional is assessing a client for signs of respiratory distress. Which of the following findings should the healthcare professional look for?
- A. Shallow breathing
- B. Bradycardia
- C. Increased appetite
- D. Warm, dry skin
Correct answer: A
Rationale: Corrected Question: A healthcare professional is assessing a client for signs of respiratory distress. Shallow breathing is a key indicator of respiratory distress, reflecting an inadequate exchange of oxygen and carbon dioxide. Bradycardia (Choice B) refers to a slow heart rate and is not typically a direct sign of respiratory distress. Increased appetite (Choice C) and warm, dry skin (Choice D) are unrelated to respiratory distress. Therefore, the correct answer is A.
5. A healthcare provider is caring for a patient and realizes they administered the wrong medication. What action should the healthcare provider take first?
- A. Notify the provider.
- B. Report the incident to the risk manager.
- C. Check the condition of the patient.
- D. Complete an incident report.
Correct answer: C
Rationale: The healthcare provider should first assess the patient to determine if any harm has occurred as a result of the medication error. Checking the patient's condition takes precedence as it allows for immediate intervention if necessary. Notifying the provider (choice A) can come later once the patient's condition is assessed. Reporting to the risk manager (choice B) and completing an incident report (choice D) are important steps but should follow the initial assessment of the patient to ensure timely and appropriate actions are taken.
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