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RN ATI Capstone Proctored Comprehensive Assessment Form A
1. Which of the following is an example of professional negligence?
- A. Following facility guidelines at all times
- B. Using equipment in a knowledgeable manner
- C. Communicating effectively with clients
- D. Documenting client interactions accurately
Correct answer: A
Rationale: Professional negligence involves failing to meet the standard of care expected in a particular profession, which can lead to harm. In this case, not following facility guidelines can result in lapses in safety or quality of care, potentially causing harm to clients. Choices B, C, and D all represent essential aspects of professional conduct and do not directly relate to negligence.
2. A client has urinary incontinence, and the nurse is caring for them. Which of the following actions should the nurse implement to prevent the development of skin breakdown?
- A. Request a prescription for the insertion of an indwelling urinary catheter
- B. Check the client's skin every 8 hours for signs of breakdown
- C. Apply a moisture barrier ointment to the client's skin
- D. Clean the client's skin and perineum with hot water after each episode of incontinence
Correct answer: C
Rationale: The correct action to prevent skin breakdown in a client with urinary incontinence is to apply a moisture barrier ointment to the skin. This ointment helps protect the skin from the harmful effects of moisture exposure, reducing the risk of breakdown. Requesting an indwelling urinary catheter (Choice A) should not be the first-line intervention for skin breakdown prevention. Checking the client's skin for signs of breakdown (Choice B) is important but not as effective as applying a moisture barrier. Cleaning the skin with hot water (Choice D) can actually be detrimental as hot water can strip the skin of its natural oils and worsen skin integrity.
3. A nurse is providing teaching to a parent of a child with celiac disease. Which food choice should the nurse include?
- A. Rice
- B. Barley
- C. Wheat
- D. Rye
Correct answer: A
Rationale: The correct answer is A, Rice. In celiac disease, individuals must avoid gluten-containing foods. Rice is a safe option as it is gluten-free. Barley (choice B), Wheat (choice C), and Rye (choice D) all contain gluten and should be avoided in a celiac diet. Therefore, the nurse should emphasize including rice in the child's diet.
4. A nurse is preparing to administer aspirin 650mg PO every 12 hr. The amount available is aspirin 325mg tablets. How many tablets should the nurse administer?
- A. 1 tablet
- B. 2 tablets
- C. 3 tablets
- D. 4 tablets
Correct answer: B
Rationale: The correct answer is 2 tablets. Each tablet of aspirin is 325mg. To achieve the required dose of 650mg, the nurse should administer 2 tablets. Choice A (1 tablet) is incorrect because it would only provide 325mg, which is half the required dose. Choices C (3 tablets) and D (4 tablets) are incorrect as they would exceed the required dose.
5. A client scheduled for a CT scan of the head with contrast is being taught by a nurse. Which of the following statements by the client indicates a need for further teaching?
- A. I will not eat or drink for 4 hours before the procedure
- B. I will keep my head still throughout the procedure
- C. I will experience a warm sensation when the dye is injected
- D. I can take my morning dose of metformin
Correct answer: D
Rationale: The correct answer is D because metformin should be held before a contrast CT scan to prevent the risk of kidney damage. Choices A, B, and C are all correct statements regarding the preparation and experience of a CT scan with contrast. It is important to fast before the procedure, keep the head still during the scan, and expect a warm sensation when the dye is injected.
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