ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?
- A. A client awaiting a screening colonoscopy later that day
- B. A client whose discharge was cancelled the prior day because they developed respiratory distress
- C. A client who is 6 hr postoperative following an open cholecystectomy
- D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity
Correct answer: A
Rationale: The nurse manager should recommend the client awaiting a screening colonoscopy later that day for early discharge following a mass casualty event. This client is stable and not in immediate need of hospital care. Choices B, C, and D involve clients who require ongoing monitoring and care due to recent developments or treatments, making them unsuitable for early discharge during a mass casualty event.
2. A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
- A. Elevate the head of the bed no more than 45 degrees
- B. Apply cornstarch to keep sensitive skin areas dry
- C. Massage the skin over the client's bony prominences
- D. Use a transfer device to lift the client up in bed
Correct answer: D
Rationale: The correct answer is to use a transfer device to lift the client up in bed. This intervention helps reduce friction and the risk of skin breakdown, aiding in the prevention of pressure ulcers. Elevating the head of the bed no more than 45 degrees can help with respiratory issues but does not directly address skin integrity. Applying cornstarch may lead to further skin irritation. Massaging over bony prominences can increase the risk of skin damage rather than maintaining skin integrity.
3. 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.
4. A nurse is caring for a client who has not voided for 8 hours following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take first?
- A. Provide assistance to the bathroom
- B. Insert a straight catheter
- C. Increase fluids
- D. Perform a bladder scan
Correct answer: D
Rationale: Performing a bladder scan is the first step to assess bladder retention before any further interventions.
5. A healthcare professional is reviewing the medical records of a client who has a pressure ulcer. Which of the following findings should the professional expect?
- A. Albumin level of 3
- B. Hemoglobin of 12
- C. Normal skin moisture
- D. No signs of infection
Correct answer: A
Rationale: The correct answer is A: Albumin level of 3. A low albumin level indicates poor nutrition, which can contribute to the development of pressure ulcers. Choice B, Hemoglobin of 12, is within the normal range and is not directly associated with pressure ulcers. Choice C, Normal skin moisture, does not provide specific information related to pressure ulcers. Choice D, No signs of infection, while important, is not a direct finding associated with pressure ulcers.
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