ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B
1. A client with a new prescription for sumatriptan tablets to treat migraine headaches should report which of the following symptoms to the nurse?
- A. Chew the tablet well before swallowing
- B. Report swelling of the eyelids after dosage
- C. Repeat dose in 1 hour for unrelieved headache
- D. Take daily to prevent headaches
Correct answer: B
Rationale: The correct answer is B because swelling of the eyelids is a side effect of sumatriptan tablets that requires immediate reporting to the healthcare provider to prevent further complications. Choices A, C, and D are incorrect. Chewing the tablet well before swallowing is not necessary for sumatriptan tablets. Repeating the dose in 1 hour for unrelieved headache is incorrect as this medication should not be repeated within 24 hours. Taking sumatriptan daily for headache prevention is also incorrect as it is used for acute treatment, not prevention.
2. After signing an informed consent form, a client states, 'I have changed my mind and do not want to have the procedure.' Which of the following actions should the nurse take?
- A. Suggest that family members discuss the importance of the surgery with the client
- B. Notify the surgeon that the client wishes to withdraw informed consent for the procedure
- C. Document the risks of refusing the procedure in the client's medical record
- D. Discuss the benefits of the procedure with the client
Correct answer: B
Rationale: The correct action for the nurse to take in this situation is to notify the surgeon that the client wishes to withdraw informed consent for the procedure. This ensures that the client's right to refuse treatment is respected. Choice A is incorrect because involving family members in this decision could violate the client's autonomy. Choice C is incorrect as it does not address the immediate need to respect the client's decision. Choice D is also incorrect as the client has clearly stated their refusal of the procedure.
3. A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, 'I am ready to go immediately.' Which of the following actions should the nurse take first?
- A. Teach the client about the potential health risks of leaving early
- B. Ask the client to sign a document stating they are leaving AMA
- C. Document the client's statement in direct quotes in the medical record
- D. Complete an incident report detailing the client scenario
Correct answer: A
Rationale: The correct action for the nurse to take first is to educate the client about the potential health risks of leaving against medical advice (AMA). By providing this information, the nurse can help the client make an informed decision regarding their healthcare. Choice B, asking the client to sign a document, can be done after the client has been informed about the risks. Choice C, documenting the client's statement, is important but should not take precedence over educating the client. Choice D, completing an incident report, is not the priority when a client is requesting to leave AMA.
4. A nurse is preparing to administer ampicillin 500 mg IV bolus every 6 hours. Available is ampicillin 500 mg in 50 mL dextrose 5% in water (D5W) to infuse over 20 minutes. The nurse should set the IV pump to deliver how many mL/hr?
- A. 100 mL/hr
- B. 150 mL/hr
- C. 200 mL/hr
- D. 250 mL/hr
Correct answer: B
Rationale: To infuse 50 mL over 20 minutes, the pump should be set to 150 mL/hr. This calculation ensures the correct rate for the infusion of the medication. Choices A, C, and D are incorrect as they do not align with the correct calculation based on the given information.
5. What are the nursing priorities when caring for a patient with a newly placed peripherally inserted central catheter (PICC)?
- A. Performing sterile dressing changes
- B. Educating the patient on PICC line care
- C. Flushing the PICC line as prescribed
- D. Inspecting the insertion site for signs of infection
Correct answer: A
Rationale: The correct answer is A: Performing sterile dressing changes. When caring for a patient with a newly placed PICC line, one of the nursing priorities is to ensure proper care of the insertion site by performing sterile dressing changes. This helps prevent infections and maintain the integrity of the line. While educating the patient on PICC line care, flushing the PICC line as prescribed, and inspecting the insertion site for signs of infection are important aspects of care, the priority immediately after insertion is to maintain the sterility of the site through proper dressing changes.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99