ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. A client reports difficulty sleeping while in the hospital. Which of the following actions taken by the assistive personnel (AP) while the client is sleeping should prompt the nurse to intervene?
- A. Closes the door to the client's room
- B. Flushes the client's toilet after emptying the urinary catheter's drainage bag
- C. Measures the client's vital signs routinely
- D. Asks a group of personnel in the hall to speak quietly
Correct answer: B
Rationale: The correct answer is B because flushing the client's toilet after emptying the urinary catheter's drainage bag could disturb the client's rest. The nurse should intervene to ensure a restful environment for the client. Choices A, C, and D are not actions that would be disruptive to the client's sleep. Closing the door to the client's room, measuring vital signs routinely, and asking personnel in the hall to speak quietly are appropriate actions that do not directly disturb the client's rest.
2. In field experiments, researchers __________.
- A. selectively assign participants to treatment conditions in natural settings
- B. cannot use random assignment or manipulate treatment conditions
- C. randomly assign participants to treatment conditions in natural settings
- D. have stronger control over the treatment than in the laboratory
Correct answer: C
Rationale: In field experiments, researchers randomly assign participants to treatment conditions in natural settings. This method allows for a higher level of control over potential confounding variables compared to non-random assignment. Random assignment helps ensure that the groups being compared are comparable at the beginning of the study, which strengthens the internal validity of the research findings. Choice A is incorrect because selective assignment may introduce bias. Choice B is incorrect as researchers can use random assignment in field experiments. Choice D is incorrect because field experiments typically have less control over the treatment compared to laboratory experiments.
3. A patient with obsessive-compulsive disorder (OCD) is undergoing treatment with an SSRI. Which SSRI is commonly utilized for this condition?
- A. Fluoxetine
- B. Citalopram
- C. Paroxetine
- D. Escitalopram
Correct answer: C
Rationale: Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for obsessive-compulsive disorder due to its efficacy in managing OCD symptoms. While different SSRIs may be used based on individual patient response and tolerability, Paroxetine stands out as a well-established option for treating OCD. Fluoxetine (Choice A) is another SSRI commonly used for OCD, but Paroxetine is more commonly associated with this indication. Citalopram (Choice B) and Escitalopram (Choice D) are also SSRIs but are not typically the first choice for treating OCD.
4. A school-age child is 4 hours postoperative following perforated appendicitis repair. Which of the following actions should the nurse take?
- A. Maintain the child on a clear liquid diet for 48 hours.
- B. Administer antibiotics for 7 days.
- C. Apply warm compresses to the surgical site every 4 hours.
- D. Keep the child on NPO status for 24 hours.
Correct answer: B
Rationale: Administering antibiotics for 7 days is essential postoperatively to prevent infections and complications in a child who underwent perforated appendicitis repair. This helps in reducing the risk of secondary infections and promoting healing. Clear liquid diets, warm compresses, and prolonged fasting are not the primary interventions indicated in this scenario.
5. A client is immediately postoperative following a hip arthroplasty. Which of the following positions should the nurse maintain for the client?
- A. Supine with legs extended
- B. Semi-Fowler's position with legs bent
- C. Lateral position with an abduction pillow between the legs
- D. Prone with legs elevated
Correct answer: C
Rationale: The correct position for a client immediately postoperative following a hip arthroplasty is the lateral position with an abduction pillow between the legs. This position helps prevent dislocation of the hip prosthesis and maintains proper alignment of the hip joint. Supine position with legs extended (Choice A) may put stress on the hip joint, Semi-Fowler's position with legs bent (Choice B) may not provide adequate support and alignment, and prone position with legs elevated (Choice D) is not recommended after hip arthroplasty as it can compromise the surgical site and increase the risk of complications.
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