ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. A nurse is evaluating a client receiving hemodialysis. Which of the following lab values requires immediate intervention?
- A. Sodium 135 mEq/L
- B. Potassium 6.5 mEq/L
- C. Calcium 9 mg/dL
- D. Chloride 98 mEq/L
Correct answer: B
Rationale: The correct answer is B. Potassium levels above 5.0 mEq/L can lead to cardiac issues, and a level of 6.5 mEq/L requires immediate intervention. Hyperkalemia can cause life-threatening cardiac arrhythmias. Choices A, C, and D are within normal ranges and do not require immediate intervention in the context of hemodialysis monitoring.
2. A client with a urinary tract infection is prescribed ciprofloxacin. Which instruction should the nurse provide?
- A. Continue taking this medication until you feel better
- B. Take this medication with milk or food
- C. Take the medication with an antacid
- D. Avoid caffeine while taking this medication
Correct answer: D
Rationale: The correct instruction for the nurse to provide to a client taking ciprofloxacin for a urinary tract infection is to avoid caffeine. Ciprofloxacin can interact with caffeine, potentially leading to increased side effects or reduced effectiveness. Choice A is incorrect because antibiotics should be taken for the full prescribed course, even if the client starts feeling better. Choice B is incorrect as ciprofloxacin should not be taken with dairy products or antacids as they can interfere with the absorption of the medication.
3. A nurse is preparing to perform a 12-lead electrocardiogram (ECG). Which of the following instructions should the nurse provide to the client?
- A. Remain still once the gel pads are attached
- B. I will be placing electrodes on your chest
- C. I will lower the head of your bed so you can sit up
- D. Breathe normally throughout the procedure
Correct answer: A
Rationale: The correct answer is A. Instructing the client to remain still once the gel pads are attached is crucial to obtaining accurate ECG readings. Choice B is incorrect as electrodes are typically placed on the chest, not the breast. Choice C is incorrect because the client should lie flat during an ECG, not sit up. Choice D is incorrect because the client should breathe normally, rather than holding their breath, throughout the procedure.
4. A patient is admitted and is placed on fall precautions. The nurse teaches the patient and family about fall precautions. Which action will the nurse take in accordance with hospital policy?
- A. Encourage visitors during visiting hours.
- B. Keep the patient on fall precautions until discharge.
- C. Check on the patient every shift.
- D. Raise all four side rails.
Correct answer: B
Rationale: The correct answer is B because patients on fall precautions need continuous monitoring until discharge to prevent falls. While encouraging visitors during visiting hours (Choice A) is important for the patient's well-being, it is not related to fall precautions. Checking on the patient every shift (Choice C) is an essential nursing intervention, but keeping the patient on fall precautions is more specific to preventing falls. Raising all four side rails (Choice D) is not recommended as it can restrict the patient's mobility and is considered a restraint practice.
5. A patient with a history of asthma is admitted with shortness of breath. What is the nurse's priority intervention?
- A. Administer a bronchodilator as prescribed.
- B. Encourage the patient to use an incentive spirometer.
- C. Place the patient in a high Fowler's position.
- D. Monitor the patient's oxygen saturation closely.
Correct answer: A
Rationale: The correct answer is to administer a bronchodilator as prescribed. This intervention is the priority for a patient with asthma experiencing shortness of breath as it helps relax the airways, making breathing easier. Encouraging the use of an incentive spirometer (Choice B) is beneficial for lung expansion but not the priority in this acute situation. Placing the patient in a high Fowler's position (Choice C) can also help with breathing but is not as immediate as administering a bronchodilator. While monitoring the patient's oxygen saturation closely (Choice D) is important, the immediate action to address the breathing difficulty is administering a bronchodilator.
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