ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A nurse is caring for a client who is postoperative following cataract surgery. The client reports that they do not want to wear their eye shield. What should the nurse do?
- A. Allow the client to make their own decision
- B. Explain the importance of wearing the eye shield
- C. Remove the eye shield and assess the eye
- D. Encourage the client to discuss their concerns
Correct answer: B
Rationale: The correct answer is B: Explain the importance of wearing the eye shield. It is important for the nurse to educate the client on the reasons why wearing the eye shield is crucial post cataract surgery, such as protecting the eye from injury and promoting proper healing. This empowers the client with knowledge and helps them make an informed decision. Choice A is incorrect because the nurse should provide necessary information to ensure the client's safety. Choice C is incorrect as removing the eye shield without proper justification can compromise the client's recovery. Choice D is also incorrect as discussing concerns should come after the client is educated on the importance of the eye shield.
2. A healthcare provider is planning care for a child with hyperkalemia. Which manifestation associated with the documented hyperkalemia requires immediate intervention by the healthcare provider?
- A. Hyperthermia
- B. Respiratory distress
- C. Seizures
- D. Cardiac arrhythmias
Correct answer: D
Rationale: In hyperkalemia, cardiac arrhythmias are the most critical and life-threatening manifestation that requires immediate intervention. Hyperkalemia can lead to dangerous heart rhythm disturbances, potentially resulting in cardiac arrest. Prompt treatment is essential to stabilize the heart rhythm and prevent life-threatening complications. Hyperthermia, respiratory distress, and seizures are not typically associated with hyperkalemia and should be addressed, but cardiac arrhythmias pose the most urgent risk to the patient's life.
3. A client is prescribed Omeprazole for managing heartburn. What information should the nurse include in the teaching?
- A. Take this medication at bedtime.
- B. This medication decreases the production of gastric acid.
- C. Take this medication 2 hours after eating.
- D. This medication can cause hyperkalemia.
Correct answer: B
Rationale: The correct answer is B. The nurse should educate the client that Omeprazole works by reducing the production of gastric acid through inhibiting the enzyme responsible for its production. This action helps in managing heartburn and related symptoms effectively. Choice A is incorrect because Omeprazole is usually taken before eating. Choice C is incorrect as Omeprazole is typically taken before a meal. Choice D is unrelated to Omeprazole, as it is not associated with causing hyperkalemia.
4. What is a benefit of effective delegation?
- A. It increases the manager's workload
- B. It allows the manager to make all the decisions
- C. It empowers staff to make decisions
- D. It decreases staff involvement
Correct answer: C
Rationale: The correct answer is C: 'It empowers staff to make decisions.' Effective delegation involves entrusting tasks and decisions to staff, which not only lightens the manager's load but also empowers employees, enhancing their skills and confidence. Choice A is incorrect because effective delegation should reduce the manager's workload by distributing tasks appropriately. Choice B is incorrect as effective delegation involves empowering staff to make decisions rather than the manager making all decisions. Choice D is incorrect as effective delegation actually increases staff involvement by giving them more responsibilities and decision-making power.
5. Which of the following psychologists would be most likely to stress that each person has a drive to grow and fulfill his or her potential?
- A. Sigmund Freud
- B. F. Skinner
- C. G. Stanley Hall
- D. Abraham Maslow
Correct answer: D
Rationale: The correct answer is D, Abraham Maslow. He was a leading humanist psychologist who introduced the concept of the hierarchy of needs. Maslow emphasized the human drive for self-actualization, which involves fulfilling one's potential and striving for personal growth. Sigmund Freud (choice A) focused on psychoanalysis and the unconscious mind. B.F. Skinner (choice B) was a behaviorist who studied operant conditioning. G. Stanley Hall (choice C) was a pioneering psychologist in the field of child development.
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