ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A nurse is preparing to administer a medication to a client with a nasogastric (NG) tube. What action should the nurse take?
- A. Administer the medication with a straw
- B. Flush the NG tube with 30 mL of water before administration
- C. Crush all medications together
- D. Mix the medication with pudding
Correct answer: B
Rationale: The correct action for the nurse to take when administering medication to a client with a nasogastric (NG) tube is to flush the NG tube with 30 mL of water before administration. Flushing the tube with water helps ensure the patency of the tube and prevents clogging. Choice A is incorrect because administering the medication with a straw is not a recommended practice for NG tube administration. Choice C is incorrect because crushing all medications together may lead to potential drug interactions. Choice D is incorrect because mixing the medication with pudding is not a standard method for administering medication through an NG tube.
2. Nearly all adults who were children living in Saigon when the U.S. armed forces left Vietnam in 1975 report that their lives were changed by those events. This exemplifies which of the following?
- A. Normative age-graded influence
- B. Social clock
- C. Critical period
- D. Sensitive period
Correct answer: C
Rationale: The correct answer is C. This scenario exemplifies a critical period in development. Critical periods are specific times in an individual's life when certain events have a profound impact on their development. In this case, the events surrounding the departure of the U.S. armed forces from Saigon in 1975 had a lasting influence on the children living there at that time. Choices A, B, and D are incorrect. Normative age-graded influence refers to events that are common to people of a particular age group, the social clock relates to the culturally preferred timing of social events, and a sensitive period is a time when an individual is more susceptible to environmental influences but does not result in lifelong consequences as with critical periods.
3. What is the nurse’s priority action for a client with compromised immunity?
- A. Wash hands before entering the client’s room
- B. Take the client’s vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct answer: Wash hands before entering the client’s room
Rationale:
4. Which of the following statements reflects the principles of sterile technique?
- A. Sterile objects that come in contact with unsterile objects are to be considered contaminated.
- B. Items in a sterile package must be used immediately once the package has been opened; otherwise, they are considered contaminated.
- C. Any part of a sterile field that hangs below the top of the table is sterile as long as it is not touched.
- D. The edge of a sterile field and a border 1 inch (2.5 cm) inward is unsterile.
Correct answer: A
Rationale: The correct statement reflecting the principles of sterile technique is that sterile objects that come in contact with unsterile objects are considered contaminated. This principle is crucial in maintaining asepsis during medical procedures. Choice B is incorrect because items in a sterile package should only be used if they remain sterile; opening the package does not automatically contaminate the items. Choice C is incorrect as any part of a sterile field that hangs below the top of the table is considered unsterile. Choice D is incorrect as the edge of a sterile field and a border inward are typically considered unsterile to maintain the integrity of the sterile area.
5. A healthcare provider is educating a client with type 2 diabetes mellitus about managing blood glucose levels. Which of the following statements by the client indicates a need for further teaching?
- A. I will monitor my blood glucose levels every morning.
- B. I will stop taking my insulin if my blood glucose level is below 200 mg/dL.
- C. I will take my insulin as prescribed, even if I am feeling well.
- D. I will eat more simple carbohydrates if my blood glucose level is low.
Correct answer: D
Rationale: The correct answer is D because consuming more simple carbohydrates when blood glucose levels are low can cause a rapid spike in blood sugar levels, leading to potential complications. Clients with type 2 diabetes should eat complex carbohydrates or foods that help stabilize blood sugar levels when experiencing hypoglycemia. Choices A, B, and C demonstrate understanding of monitoring blood glucose levels regularly, not stopping insulin without consulting a healthcare provider, and adhering to insulin therapy even when feeling well, which are all appropriate actions for managing diabetes.
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