ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A nurse is monitoring a client who is receiving continuous enteral feedings. What finding suggests the client is not tolerating the feeding?
- A. Increased bowel sounds
- B. Nausea
- C. Elevated blood pressure
- D. Fever
Correct answer: B
Rationale: Nausea is a common sign indicating that the client is not tolerating enteral feedings well. It can be a result of various issues such as feeding intolerance, infection, or other underlying conditions. Nausea should be promptly addressed to prevent further complications. Increased bowel sounds (Choice A) are not typically indicative of feeding intolerance. Elevated blood pressure (Choice C) and fever (Choice D) are generally not directly related to enteral feeding intolerance unless there are specific underlying conditions contributing to them.
2. Today, Albert Bandura's theory stresses the importance of __________.
- A. behavior modification
- B. punishment
- C. cognition
- D. reinforcement
Correct answer: C
Rationale: Albert Bandura's theory emphasizes the role of cognition in learning through observation. It highlights the significance of mental processes such as attention, memory, and motivation in shaping behavior. Choice A, behavior modification, focuses more on changing specific behaviors through various techniques. Choice B, punishment, involves the application of negative consequences to reduce the likelihood of a behavior occurring. Choice D, reinforcement, centers on the use of rewards or punishments to increase or decrease the probability of a behavior.
3. A nurse is planning care for a client who has dementia and is frequently agitated. Which of the following interventions should the nurse include in the plan of care?
- A. Offer the client several choices when scheduling activities.
- B. Confront the client when inappropriate behavior occurs.
- C. Use a calm, reassuring approach when speaking to the client.
- D. Encourage the client to engage in stimulating activities.
Correct answer: C
Rationale: The correct intervention for a client with dementia who is frequently agitated is to use a calm and reassuring approach when speaking to them. This approach helps reduce agitation and create a more therapeutic environment. Offering several choices may overwhelm the client and increase agitation, making choice A incorrect. Confronting the client can escalate the situation and worsen agitation, making choice B inappropriate. While encouraging stimulating activities is beneficial, it may not be the most effective intervention for immediate agitation management, making choice D less priority compared to using a calm and reassuring approach.
4. Complex carbohydrates contain more than 10 monosaccharides. Complex carbohydrates are also called disaccharides.
- A. Both statements are true.
- B. Both statements are false.
- C. The first statement is true; the second is false.
- D. The first statement is false; the second is true.
Correct answer: C
Rationale: The first statement is true; the second is false. Complex carbohydrates are also called polysaccharides and contain more than 10 monosaccharides. Choice A is incorrect because the second statement is false. Choice B is incorrect because the first statement is true. Choice D is incorrect because the second statement is false.
5. What intervention is crucial during a sickle cell crisis in a child?
- A. Administer oxygen
- B. Apply cold compresses
- C. Restrict fluids
- D. Encourage bed rest
Correct answer: A
Rationale: Administering oxygen is crucial during a sickle cell crisis in a child as it helps to prevent further sickling of cells. Oxygen therapy can improve oxygen saturation levels, reducing the risk of tissue damage and complications. Applying cold compresses (choice B) is not recommended as it can potentially worsen vaso-occlusive crisis by causing vasoconstriction. Restricting fluids (choice C) is not appropriate as hydration is essential to prevent dehydration and maintain adequate blood flow. Encouraging bed rest (choice D) may be necessary but administering oxygen takes precedence in managing a sickle cell crisis.
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