ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. 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.
2. Most cognitive aging research has focused on intellectual ________.
- A. stability
- B. gains
- C. competence
- D. deficits
Correct answer: D
Rationale: The correct answer is 'D: deficits.' Most cognitive aging research has indeed focused on deficits rather than stability, gains, or competence. Studies have consistently shown that deficits in processing speed and memory are common in aging individuals, making it a primary area of interest in research. Choices A, B, and C are incorrect because cognitive aging research primarily aims to understand and address deficits associated with aging rather than focusing on stability, gains, or overall competence.
3. A nurse is caring for an intubated and sedated geriatric client. What intervention is most appropriate for reducing the risk for a friction and shear injury?
- A. Use a mechanical lift to reposition the client every 2 hours
- B. Elevate the client’s head of the bed to 45 degrees
- C. Postpone daily bed bath
- D. Caregiver independently slides the client up in the bed
Correct answer: Use a mechanical lift to reposition the client every 2 hours
Rationale:
4. An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?
- A. Initiating discharge teaching
- B. Performing baseline physical and behavioral assessment
- C. Observing for allergic reactions to preoperative antibiotics
- D. Determining whether this defect exists in other family members
Correct answer: B
Rationale: Performing a baseline physical and behavioral assessment is crucial to determine the infant's current health status and to identify any potential risks before surgery.
5. Under what circumstances can personal health information be disclosed?
- A. Compliance with legal proceedings
- B. For research purposes in limited circumstances
- C. To a family member or significant other in an emergency
- D. All of the above
Correct answer: D
Rationale: Personal health information can be disclosed under specific circumstances such as compliance with legal proceedings, for research purposes in limited situations, and to a family member or significant other in emergencies. Choice D, 'All of the above,' is the correct answer because it encompasses all the situations where disclosure of personal health information is permissible. Choices A, B, and C are incorrect because they represent individual scenarios where disclosure can occur, but the comprehensive answer is that personal health information can be disclosed in all these situations, not just one or two.
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