ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. A nurse is assigned to care for a client with unstable blood pressure. What should the nurse do first?
- A. Monitor the client every two hours.
- B. Continuously monitor the client's vital signs.
- C. Wait for the healthcare provider to provide instructions.
- D. Ask the healthcare provider for specific instructions.
Correct answer: B
Rationale: In the case of a client with unstable blood pressure, the priority action for the nurse is to continuously monitor the client's vital signs. This allows for immediate detection of any fluctuations in blood pressure and timely intervention if necessary. Choice A, monitoring every two hours, may not provide real-time information needed for prompt intervention. Choices C and D suggest waiting for instructions from the healthcare provider, which could cause a delay in addressing the unstable blood pressure, potentially leading to adverse outcomes. Therefore, the most appropriate initial action is to continuously monitor the client's vital signs.
2. Before rigor mortis occurs, what is the nurse responsible for?
- A. Providing a complete bath and dressing change
- B. Placing one pillow under the body’s head and shoulders
- C. Removing the body’s clothing and wrapping the body in a shroud
- D. Allowing the body to relax normally
Correct answer: B
Rationale: Before rigor mortis occurs, the nurse is responsible for placing a pillow under the body's head and shoulders. This action helps maintain proper positioning, prevent postmortem changes, and ensure a dignified appearance. Providing a complete bath and dressing change, removing clothing, or wrapping the body in a shroud are tasks typically performed after rigor mortis sets in or later in the postmortem care process. Allowing the body to relax normally does not address the immediate need for proper positioning before rigor mortis occurs.
3. What research method involves researchers using interviews and/or questionnaires to collect data about attitudes, interests, values, and various kinds of behaviors?
- A. Case study
- B. Survey
- C. Naturalistic observation
- D. Correlational study
Correct answer: B
Rationale: The correct answer is B: Survey. A survey is a research method where data is collected through interviews or questionnaires about various behaviors and attitudes. In a case study (choice A), researchers closely examine a particular individual or group. Naturalistic observation (choice C) involves observing subjects in their natural environment. Correlational study (choice D) examines the relationship between two variables but does not involve collecting data through interviews or questionnaires.
4. In managing cystic fibrosis, which nutrition therapy is crucial for patients with pancreatic insufficiency?
- A. A low-fat diet to prevent steatorrhea
- B. A low-sodium diet to normalize fluid status
- C. A high-fiber diet to normalize bowel function
- D. Pancreatic enzyme replacement therapy to help digestion
Correct answer: D
Rationale: In cystic fibrosis patients with pancreatic insufficiency, pancreatic enzyme replacement therapy is vital for aiding digestion. This therapy helps compensate for the decreased production of digestive enzymes by the pancreas, enabling the proper breakdown and absorption of nutrients. Options A, B, and C are not the primary focus of nutrition therapy for cystic fibrosis patients with pancreatic insufficiency.
5. What is the most appropriate intervention for a patient experiencing a panic attack?
- A. Encourage deep, slow breathing.
- B. Encourage the patient to talk about their feelings.
- C. Leave the patient alone to calm down.
- D. Engage the patient in a physical activity.
Correct answer: A
Rationale: Encouraging deep, slow breathing is the most appropriate intervention for a patient experiencing a panic attack. This technique can help the patient regulate their breathing, reduce hyperventilation, and promote relaxation, which are essential in managing the symptoms of a panic attack. Choice B, encouraging the patient to talk about their feelings, may not be effective during an acute panic attack as the focus should be on calming the patient down. Choice C, leaving the patient alone, can lead to increased feelings of fear and isolation during a panic attack. Choice D, engaging the patient in physical activity, may exacerbate symptoms as it can increase the feeling of being out of control.
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