ATI RN
ATI Capstone Comprehensive Assessment B
1. A nurse is caring for a patient who has just returned from surgery. What is the nurse's priority action?
- A. Monitor the patient's pain level.
- B. Assess the patient's vital signs.
- C. Assess the surgical incision site.
- D. Position the patient in a high Fowler's position.
Correct answer: B
Rationale: The correct answer is B: Assess the patient's vital signs. Assessing vital signs is crucial as it helps to detect any early signs of complications such as bleeding, shock, or changes in oxygenation. Monitoring the patient's pain level (Choice A) is important but assessing vital signs takes precedence. While assessing the surgical incision site (Choice C) is essential, ensuring the patient's physiological stability through vital sign assessment is the priority. Positioning the patient in a high Fowler's position (Choice D) may be necessary for comfort but does not address the immediate need to assess the patient's condition post-surgery.
2. A nurse is providing teaching to a client who has osteoporosis. Which of the following instructions should the nurse include?
- A. Take a calcium supplement once daily.
- B. Walk for 30 minutes three times per week.
- C. Avoid weight-bearing exercises.
- D. Increase intake of vitamin D.
Correct answer: B
Rationale: The correct answer is B. Walking regularly is beneficial for clients with osteoporosis as it helps maintain bone density and prevent fractures. Choice A is not the most appropriate because clients with osteoporosis often require more than just calcium supplements. Choice C is incorrect as weight-bearing exercises actually help strengthen bones. Choice D is important, but walking regularly has a more direct impact on bone health in clients with osteoporosis.
3. Which systolic blood pressure measurement is classified as prehypertension?
- A. 106 mmHg
- B. 119 mmHg
- C. 130 mmHg
- D. 141 mmHg
Correct answer: B
Rationale: According to the blood pressure classification, a systolic blood pressure between 120-139 mmHg is considered prehypertension. This range indicates an increased risk for developing hypertension if not managed appropriately. Therefore, a systolic blood pressure of 119 mmHg falls into the prehypertension category. A systolic pressure of 106 mmHg is within the normal range, while 130 mmHg and above would be classified as stage 1 and stage 2 hypertension respectively, not prehypertension.
4. How does parenting style influence child development?
- A. Authoritative parenting is associated with the best outcomes.
- B. Permissive parenting leads to the best outcomes.
- C. Neglectful parenting is associated with the best outcomes.
- D. Authoritarian parenting is the most effective in child development.
Correct answer: A
Rationale: Authoritative parenting, which balances warmth and control, is associated with the best outcomes in child development. It fosters independence, self-regulation, and social competence in children. Choice B is incorrect because permissive parenting, which is characterized by low demands and high responsiveness, may lead to issues like lack of self-discipline. Choice C is incorrect as neglectful parenting, characterized by low demands and low responsiveness, can result in various negative outcomes for the child. Choice D is incorrect because authoritarian parenting, which is high on control but low on warmth, may lead to obedience but can also stifle a child's independence and creativity.
5. A nurse is assessing a client who is experiencing auditory hallucinations. What question should the nurse ask?
- A. Do you understand the voices are not real?
- B. Why do you think the voices are talking to you?
- C. Have you tried going to a quiet place when this occurs?
- D. What helps you ignore the voices?
Correct answer: D
Rationale: Exploring strategies to ignore the hallucinations can help clients manage symptoms.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99