ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A nurse is caring for a client who has a prescription for a narcotic medication. After administration, what should the nurse do with the unused portion?
- A. Document the amount wasted
- B. Store it for later use
- C. Discard it with another nurse as a witness
- D. Return it to the pharmacy
Correct answer: C
Rationale: After administering a narcotic medication, any unused portion should be discarded with another nurse as a witness. This procedure ensures proper disposal of controlled substances and prevents misuse or diversion. Storing it for later use (Choice B) is not appropriate due to safety concerns and legal regulations. Returning it to the pharmacy (Choice D) is also not recommended as the medication is already out of the pharmacy's control. Documenting the amount wasted (Choice A) is important for accurate record-keeping but does not address the immediate need for safe disposal of the unused narcotic medication.
2. A nurse administers albuterol to a child with asthma. For what common side effect should the nurse monitor the child?
- A. Flushing
- B. Dyspnea
- C. Tachycardia
- D. Hypotension
Correct answer: C
Rationale: The correct answer is C, Tachycardia. Albuterol, a bronchodilator used to treat asthma, commonly causes tachycardia as a side effect. Flushing (choice A) is not a typical side effect of albuterol. Dyspnea (choice B) refers to difficulty breathing, which is a symptom of asthma but not a common side effect of albuterol. Hypotension (choice D) is low blood pressure, which is not a common side effect associated with albuterol use.
3. Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is priority for her?
- A. Obtain daily weights.
- B. Measure abdominal girth.
- C. Keep strict intake and output.
- D. Encourage her to increase fluids.
Correct answer: B
Rationale: For a patient with a possible bowel obstruction, measuring abdominal girth is a priority to monitor for signs of worsening obstruction or distention.
4. A nurse is teaching a client who has heart failure about managing fluid intake. Which of the following instructions should the nurse include?
- A. Drink 2 liters of water per day.
- B. You should restrict your fluid intake to 1 liter per day.
- C. You can drink as much fluid as you want throughout the day.
- D. Limit your fluid intake to 3 liters per day.
Correct answer: B
Rationale: The correct answer is B: "You should restrict your fluid intake to 1 liter per day." Clients with heart failure should limit their fluid intake to prevent fluid overload, which can worsen their condition. Choice A is incorrect because 2 liters of water per day may be excessive for someone with heart failure. Choice C is incorrect as unlimited fluid intake is not suitable for individuals with heart failure. Choice D is also incorrect as 3 liters per day may be too much fluid for a client with heart failure.
5. A client with liver dysfunction has low serum levels of thrombin. The nurse provides care, anticipating that this client is most at risk of
- A. Dehydration
- B. Malnutrition
- C. Bleeding
- D. Infection
Correct answer: C
Rationale: Thrombin is produced by the liver and is necessary for normal clotting. When a client with liver dysfunction has low serum levels of thrombin, they are at risk of bleeding due to impaired clotting mechanisms. Dehydration (choice A) is not directly related to low thrombin levels. Malnutrition (choice B) may impact overall health but is not the most immediate concern associated with low thrombin levels. Infection (choice D) is not directly related to the clotting function affected by low thrombin levels.
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