ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?
- A. Increased heart rate
- B. Decreased temperature
- C. Serosanguineous drainage from the puncture site
- D. Discomfort at the puncture site
Correct answer: A
Rationale: Correct Answer: A nurse should identify an increased heart rate as a complication following a thoracentesis and contact the provider immediately. An increased heart rate may indicate a pneumothorax or other serious complications. Choices B, C, and D are incorrect because decreased temperature, serosanguineous drainage, and discomfort at the puncture site are expected findings following a thoracentesis and do not indicate a significant complication requiring immediate provider notification.
2. A nurse is teaching the partner of a client who had a stroke about manifestations of dysphagia. Which of the following statements by the client's partner indicates the need for further teaching?
- A. I will monitor my husband for coughing while he is eating
- B. I will monitor my husband for pocketing food in his mouth
- C. I will monitor for a change in my husband's voice after he swallows
- D. I will monitor my husband for tilting his head forward when he swallows
Correct answer: D
Rationale: The correct answer is D. Tilting the head forward during swallowing is not a compensatory technique for dysphagia and may increase the risk of aspiration. Choices A, B, and C are correct statements indicating appropriate monitoring for manifestations of dysphagia: coughing while eating, pocketing food in the mouth, and changes in voice after swallowing are all signs that should be monitored.
3. A public health nurse is developing guidelines for the management of a botulism outbreak. Which of the following information should the nurse include?
- A. High-risk individuals should receive immunoglobulin E (IgE)
- B. Implement airborne precautions for clients who have botulism
- C. Administer an aminoglycoside medication
- D. Rinse skin with soap and water following exposure to the botulism toxin
Correct answer: D
Rationale: The correct answer is D. Rinsing the skin with soap and water following exposure to the botulism toxin is crucial as it helps remove the toxin from the skin, preventing further absorption. Choices A, B, and C are incorrect. Immunoglobulin E (IgE) is not used in the management of botulism. Airborne precautions are not necessary for botulism as it is not transmitted through the air. Aminoglycoside medications are not the treatment of choice for botulism.
4. How is the effectiveness of a diuretic in a patient with heart failure evaluated?
- A. Checking daily weights and lung sounds for improvement
- B. Assessing the patient's blood pressure and urine output
- C. Monitoring for weight loss and reduction in edema
- D. Measuring the patient's heart rate and lung sounds
Correct answer: A
Rationale: The correct way to evaluate the effectiveness of a diuretic in a patient with heart failure is by checking daily weights and lung sounds for improvement. Daily weights help to assess fluid retention changes, while improvement in lung sounds indicates reduced pulmonary congestion. Assessing blood pressure and urine output (Choice B) is important but does not directly evaluate the effectiveness of the diuretic. Monitoring for weight loss and reduction in edema (Choice C) are valid indicators of diuretic effectiveness, but direct observation of daily weights and lung sounds is more specific. Measuring heart rate and lung sounds (Choice D) is relevant but does not directly assess the impact of the diuretic on fluid balance and pulmonary status.
5. A nurse is assessing a client who is being admitted from the PACU following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?
- A. Urinary output
- B. Pain level
- C. Oxygen saturation
- D. Abdominal dressing
Correct answer: C
Rationale: The correct answer is C: Oxygen saturation. Following abdominal surgery, the priority assessment is to ensure adequate oxygenation. Monitoring oxygen saturation is crucial as the client may be at risk of respiratory complications due to the effects of anesthesia, pain medications, and the surgical procedure itself. Assessing urinary output is important for monitoring kidney function but is not the priority immediately postoperatively. Pain level assessment is essential for the client's comfort but does not take precedence over ensuring oxygen saturation. Checking the abdominal dressing is important for wound assessment, but ensuring adequate oxygenation is the priority in the immediate postoperative period.
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