ATI RN
ATI Capstone Comprehensive Assessment B
1. A nurse is preparing to administer morphine sulfate to a client. What should the nurse assess before administration?
- A. Assess for pain relief.
- B. Monitor for respiratory depression.
- C. Assess the infusion site for complications.
- D. Increase the dosage if the client reports more pain.
Correct answer: B
Rationale: Correct answer: Before administering morphine sulfate, the nurse should monitor for respiratory depression as it is a significant side effect of this medication. Assessing for pain relief (Choice A) is important but not a pre-administration assessment. Checking the infusion site for complications (Choice C) is relevant for IV medications, not specifically for morphine sulfate. Increasing the dosage if the client reports more pain (Choice D) is not appropriate without further assessment and medical orders.
2. Which parental style is characterized by warmth, control, and communication?
- A. Authoritarian
- B. Permissive/indulgent
- C. Authoritative
- D. Neglectful/uninvolved
Correct answer: C
Rationale: The correct answer is C, Authoritative. The authoritative parenting style is characterized by a balance of warmth, control, and communication. This style promotes a nurturing environment where parents set clear rules and boundaries while also being responsive to their child's needs. Choice A, Authoritarian, is characterized by strict rules and high control with less warmth and communication. Choice B, Permissive/indulgent, involves high warmth but low control, where rules are not clearly established. Choice D, Neglectful/uninvolved, lacks both warmth and control, with little to no communication or involvement in the child's life.
3. What recommendations should the nurse provide to a patient diagnosed with GERD?
- A. Avoid items like mint that increase gastric acid secretion
- B. Eat small, frequent meals
- C. Avoid eating 1 hour before bedtime
- D. Avoid black and red pepper
Correct answer: A
Rationale: The correct answer is A: 'Avoid items like mint that increase gastric acid secretion.' Mint can relax the lower esophageal sphincter, leading to increased gastric acid secretion and worsening GERD symptoms. Choice B is a good recommendation for GERD management as it helps prevent excessive stomach distension. Choice C is also a recommended practice to avoid reflux during sleep. Choice D, avoiding black and red pepper, is not directly linked to exacerbating GERD symptoms, so it is not the most relevant recommendation for a patient diagnosed with GERD.
4. Which of the following is a critical component of a health promotion program?
- A. Community involvement
- B. Sufficient funding
- C. Effective leadership
- D. Transparent communication
Correct answer: A
Rationale: Community involvement is a critical component of a health promotion program as it ensures that the program aligns with the community's needs and fosters ownership and sustainability. Engaging the community in the planning, implementation, and evaluation of health promotion initiatives increases their effectiveness and relevance.
5. What is a chronic condition where the bronchial tubes in the lungs become inflamed and narrowed, often caused by smoking?
- A. Chronic bronchitis
- B. Emphysema
- C. Asthma
- D. Tuberculosis
Correct answer: A
Rationale: Chronic bronchitis is the correct answer because it is a long-term condition characterized by inflammation and narrowing of the bronchial tubes in the lungs, commonly triggered by smoking. Emphysema involves damage to the air sacs in the lungs, not specifically the bronchial tubes. Asthma is a condition of reversible airway obstruction usually due to allergies or other triggers, not solely smoking. Tuberculosis is a bacterial infection that primarily affects the lungs but is not directly related to inflammation and narrowing of the bronchial tubes.
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