ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. A healthcare provider is assessing a client who has carpal tunnel syndrome. The provider should expect which of the following findings?
- A. Positive Chvostek's sign
- B. Cool extremities
- C. Positive Phalen's sign
- D. Decreased radial pulse
Correct answer: C
Rationale: Phalen's sign is often positive in clients with carpal tunnel syndrome due to nerve compression. Chvostek's sign (Choice A) is related to hypocalcemia, cool extremities (Choice B) are not typically associated with carpal tunnel syndrome, and decreased radial pulse (Choice D) is not a common finding in carpal tunnel syndrome.
2. When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
- A. Describing the staff nurse's behavior that violated the policy
- B. Terminating the staff immediately
- C. Confrontation
- D. Determining the employee's awareness of the policy
Correct answer: B
Rationale: When a policy violation occurs, the necessary steps for the nurse manager include: describing the staff nurse's behavior that violated the policy, confrontation as a communication technique to address specific issues, and determining the employee's awareness of the policy. Terminating the employee immediately is not always the appropriate response to a policy violation, as there may be other corrective actions or interventions that can be taken to address the issue without resorting to termination. It is crucial to follow due process, provide guidance, and support to help employees understand and rectify their behavior.
3. What principle about patient-nurse communication should guide a nurse's fear of saying the wrong thing to a patient?
- A. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation.
- B. Patients are more interested in conversing with you than in hearing your perspective, making offense unlikely.
- C. Considering the patient's background, the likelihood of the comment causing harm is minimal.
- D. Individuals with mental illness often possess a heightened capacity for forgiveness.
Correct answer: A
Rationale: The correct answer is A. Patients value interactions with healthcare providers who express genuine acceptance, respect, and concern for their well-being. By focusing on conveying these qualities, a nurse can help alleviate fears of saying the wrong thing as patients appreciate the sincerity and empathy in the communication. This approach fosters trust and a positive therapeutic relationship, enhancing the effectiveness of patient-nurse communication.
4. A healthcare professional is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions should the healthcare professional take first?
- A. Check the residual volume before administering the feeding
- B. Elevate the head of the bed to 30 degrees
- C. Flush the tube with 10 mL of sterile water
- D. Verify the client's tube placement
Correct answer: D
Rationale: Verifying the client's tube placement is the priority before administering any enteral feeding. This step ensures that the tube is correctly positioned in the stomach or intestines, minimizing the risk of complications such as aspiration. Checking the residual volume, elevating the head of the bed, and flushing the tube are important steps but should occur after confirming the tube placement to ensure the feeding is delivered safely and effectively.
5. Prior to a thoracentesis, which of the following actions should the nurse take?
- A. Position the client in an upright position, leaning over the bedside table.
- B. Explain the procedure.
- C. Obtain ABGs.
- D. Administer benzocaine spray.
Correct answer: Position the client in an upright position, leaning over the bedside table.
Rationale: Positioning the client in an upright position, leaning over the bedside table helps to facilitate access to the thoracic cavity during the thoracentesis procedure. This position allows for easier identification and access to the insertion site. Explaining the procedure to the client is important, but positioning is the priority. Obtaining ABGs is not directly related to the thoracentesis procedure. Administering benzocaine spray is not a standard practice before a thoracentesis.
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