ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. What is the definition of malpractice in the context of professional negligence?
- A. Failure to follow personal standards of care
- B. Failure to act in a reasonable and prudent manner by a professional
- C. Harm caused by a healthcare team due to miscommunication
- D. Failure to document patient care properly
Correct answer: B
Rationale: The correct definition of malpractice in the context of professional negligence is the failure to act in a reasonable and prudent manner by a professional. This choice is correct because malpractice occurs when a professional does not meet the standard of care expected in their field, leading to harm or injury to the client. Choices A, C, and D are incorrect because malpractice is specifically about the failure to meet professional standards of care, rather than personal standards, miscommunication within a healthcare team, or inadequate documentation of patient care.
2. 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.
3. A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
- A. Deficits in the right visual field
- B. Unable to discriminate words and letters
- C. Motor retardation
- D. Poor impulse control
Correct answer: D
Rationale: The correct answer is D, poor impulse control. Right hemisphere strokes commonly affect judgment and safety awareness, leading to poor impulse control. Choices A, B, and C are incorrect for this scenario. Deficits in the right visual field are associated with left hemisphere strokes, while the inability to discriminate words and letters is typically seen with left hemisphere damage. Motor retardation is more common in strokes affecting the motor areas of the brain, not specifically related to right hemisphere strokes.
4. A client is experiencing chest pain. Which action should the nurse take first?
- A. Administer aspirin
- B. Provide oxygen
- C. Perform an ECG
- D. Administer nitroglycerin
Correct answer: D
Rationale: Administering nitroglycerin is the priority action when a client is experiencing chest pain as it helps alleviate the pain caused by reduced blood flow to the heart. Oxygen can be beneficial, but nitroglycerin takes precedence in this situation. Aspirin can also be given, but nitroglycerin is the priority. Performing an ECG can provide valuable information but is not the first action to take in this scenario.
5. Which of the following foods is a good source of protein?
- A. Chicken
- B. Tofu
- C. Cheddar cheese
- D. Almonds
Correct answer: C
Rationale: Cheddar cheese is indeed a good source of protein, providing a significant amount per serving. While chicken and tofu are also high in protein, cheddar cheese can be a beneficial source, especially for individuals looking for non-meat options. Almonds, while nutritious, are not as high in protein compared to the other options listed.
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