ATI RN
ATI Capstone Fundamentals Assessment Proctored
1. A nurse is preparing to administer enteral feedings to a client with an NG tube. Which action should the nurse take first?
- A. Flush the tube with 100 mL of water
- B. Verify tube placement
- C. Elevate the head of the bed
- D. Measure the residual gastric volume
Correct answer: B
Rationale: Verifying tube placement is the priority action the nurse should take before administering enteral feedings. This step ensures that the NG tube is correctly positioned, reducing the risk of complications such as aspiration pneumonia. Flushing the tube with water, elevating the head of the bed, and measuring residual gastric volume are important steps in enteral feeding administration but come after verifying tube placement. Flushing the tube with water helps clear the tubing, elevating the head of the bed reduces the risk of aspiration, and measuring residual gastric volume helps assess the client's tolerance to feedings.
2. Which order should the nurse question?
- A. The addition of a loop diuretic with digoxin.
- B. The addition of a beta blocker with digoxin.
- C. A digoxin dose of 0.125 mg per day.
- D. The addition of an ACE inhibitor with digoxin.
Correct answer: B
Rationale: The correct answer is B because adding a beta blocker to digoxin can potentiate the bradycardic effect of digoxin, leading to serious complications such as heart block. This combination requires caution as it can significantly slow down the heart rate. Choices A, C, and D are not the best options to question in this scenario. Loop diuretics are commonly used with digoxin, a digoxin dose of 0.125 mg per day is within the typical range, and ACE inhibitors are often prescribed alongside digoxin for managing heart conditions.
3. Which negative ion is most important in intracellular fluid?
- A. Phosphate ions.
- B. Protein molecules.
- C. Chlorine.
- D. Phosphate ions and protein molecules.
Correct answer: D
Rationale: Intracellular fluid contains phosphate ions and protein molecules as essential anions. Phosphate ions play a crucial role in various cellular processes, including energy transfer. Proteins, being large molecules with negative charges, also contribute significantly to the negative ion concentration within cells. Chlorine is primarily an extracellular anion and is not as prominent as phosphate ions and proteins within intracellular fluid, making it a less important negative ion in this context. Therefore, the correct answer is D because both phosphate ions and protein molecules are crucial negative ions in intracellular fluid.
4. When palpating the client's neck for lymphadenopathy, where should the nurse position himself?
- A. At the client's back
- B. At the client's right side
- C. At the client's left side
- D. In front of a sitting client
Correct answer: D
Rationale: When palpating the client's neck for lymphadenopathy, the nurse should position himself in front of a sitting client. This positioning allows for easier access to the neck area and better visualization of any swelling or abnormalities in the lymph nodes. Being in front of the client ensures proper alignment and comfort for both the nurse and the client during the assessment. Choices A, B, and C are incorrect because positioning at the client's back or sides would make it challenging to adequately palpate the neck area and assess for lymphadenopathy.
5. What is a major disadvantage of cross-sectional research?
- A. Age-related changes cannot be examined.
- B. Participants often drop out before the study is over.
- C. Factors affecting individual development cannot be explored.
- D. Practice effects often cause biased findings.
Correct answer: C
Rationale: One major disadvantage of cross-sectional research is that factors affecting individual development cannot be explored thoroughly. Cross-sectional research involves comparing different groups of people at one specific point in time, and does not allow for tracking individual changes over time. This limitation means that the unique influences and trajectories of individual development may be overlooked in cross-sectional studies. Choices A, B, and D are incorrect. Choice A is not a major disadvantage of cross-sectional research as age-related changes can still be compared across different groups in this type of study. Choice B, while a potential issue in any study, is not specific to cross-sectional research. Choice D refers to a different type of bias caused by repeated testing rather than a major disadvantage of cross-sectional research.
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