ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions?
- A. Anesthesiologists
- B. Physician assistants
- C. Hospital pharmacists
- D. Nurse practitioners
Correct answer: A
Rationale: The correct answer is A: Anesthesiologists. Anesthesiologists are licensed providers who have the legal authority to give telephone medication prescriptions. Physician assistants (choice B), hospital pharmacists (choice C), and nurse practitioners (choice D) do not typically have the legal ability to provide medication prescriptions over the phone. In this scenario, the charge nurse should inform the newly licensed nurse that anesthesiologists are one of the providers who can legally give telephone medication prescriptions.
2. A theory of development __________.
- A. illustrates the ultimate truth about human behavior
- B. describes, explains, and predicts behavior
- C. explains all aspects of human growth
- D. does not require scientific verification
Correct answer: B
Rationale: A theory of development describes, explains, and predicts behavior. It provides a framework for understanding how individuals grow and change over time. The purpose of a theory is not to illustrate ultimate truth or explain all aspects of human growth, but rather to help researchers and practitioners make sense of and predict human behavior. Theories are expected to be tested and refined through scientific verification. Choice A is incorrect because theories do not necessarily illustrate ultimate truth. Choice C is incorrect as theories focus on behavior and development, not all aspects of human growth. Choice D is incorrect because scientific verification is essential for theories to be valid and reliable.
3. What should be done to manage a patient with contact precautions?
- A. Wear a mask, gown, and gloves for all patient interactions.
- B. Ensure that visitors wear protective equipment.
- C. Dedicate all patient care equipment to that patient.
- D. Disinfect shared equipment before use.
Correct answer: C
Rationale: When managing a patient with contact precautions, it is essential to dedicate all patient care equipment to that specific patient. This practice helps minimize the risk of spreading infections to other patients. Choice A, wearing protective gear for all patient interactions, is a general precaution but not specific to managing a patient with contact precautions. Choice B, ensuring visitors wear protective equipment, is important for infection control but not directly related to managing the patient with contact precautions. Choice D, disinfecting shared equipment before use, is a good practice for infection control in general but does not address the specific needs of a patient under contact precautions.
4. What is the first medication to give for wheezing due to an allergic reaction?
- A. Albuterol via nebulizer
- B. Cromolyn 20 mg via nebulizer
- C. Methylprednisolone 100 mg IV
- D. Aminophylline 500 mg IV
Correct answer: A
Rationale: Albuterol is the first-line medication for treating wheezing due to an allergic reaction. Albuterol is a short-acting beta-agonist that helps relieve bronchospasm quickly. Cromolyn is more commonly used for the prevention of asthma symptoms rather than for acute treatment. Methylprednisolone and aminophylline are not the first-line medications for acute wheezing due to an allergic reaction.
5. A 40-year-old male client has been hospitalized with peptic ulcer disease. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge planning will teach him that the action of cimetidine is to:
- A. Reduce gastric acid output
- B. Protect the ulcer surface
- C. Inhibit the production of hydrochloric acid (HCl)
- D. Inhibit vagus nerve stimulation
Correct answer: C
Rationale: Cimetidine inhibits the production of hydrochloric acid (HCl), which helps to treat peptic ulcer disease.
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