ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. A nurse is providing discharge teaching for a client prescribed warfarin. What should be included in the teaching?
- A. Avoid foods rich in vitamin K
- B. Take warfarin with meals
- C. Take aspirin for pain relief
- D. Report unusual bleeding or bruising
Correct answer: D
Rationale: The correct answer is D. When a client is prescribed warfarin, they should be educated to report any unusual bleeding or bruising promptly. Choices A, B, and C are incorrect. Avoiding foods rich in vitamin K is not necessary when taking warfarin, as long as intake remains consistent. Warfarin does not need to be taken with meals, and aspirin should not be taken for pain relief due to its blood-thinning effects, which can increase the risk of bleeding when combined with warfarin.
2. One important contribution of Freud's theory was that ________.
- A. he truly understood the role of women in society.
- B. he heavily utilized experimental evidence to support his theories.
- C. he applied the same principles to normal and abnormal behavior.
- D. he increased the focus on positive growth for individuals.
Correct answer: C
Rationale: Freud's important contribution was that he applied the same principles to both normal and abnormal behavior. This approach allowed for a comprehensive understanding of human behavior without creating a rigid distinction between normal and abnormal psychology. Choice A is incorrect because Freud's theory did not primarily focus on the role of women in society. Choice B is incorrect as Freud's theories were largely based on clinical observations and case studies rather than experimental evidence. Choice D is incorrect as Freud's theory emphasized the unconscious mind and conflicts rather than solely focusing on positive growth for individuals.
3. A client complains of difficulty swallowing when the nurse tries to administer capsule medication. Which of the following measures should the nurse take?
- A. Dissolve the capsule in a glass of water
- B. Break the capsule and give the contents with applesauce
- C. Check the availability of a liquid preparation
- D. Crush the capsule and place it under the tongue
Correct answer: C
Rationale: When a client has difficulty swallowing capsule medication, the nurse should check the availability of a liquid preparation. This is a safer approach and ensures that the medication's integrity is maintained, providing an alternative form that is easier for the client to take. Dissolving the capsule in water (choice A) may alter the medication's effectiveness, breaking the capsule and mixing the contents with applesauce (choice B) is not recommended as it may cause an unpleasant taste, and crushing the capsule and placing it under the tongue (choice D) can be unsafe and affect the medication's absorption.
4. What is the primary goal of discharge planning?
- A. Reducing readmission rates
- B. Improving patient outcomes
- C. Ensuring continuity of care
- D. Ensuring medication adherence
Correct answer: C
Rationale: The primary goal of discharge planning is to ensure continuity of care for patients transitioning from one level of care to another. While reducing readmission rates and improving patient outcomes are important aspects of discharge planning, the main focus is on coordinating care to prevent gaps and ensure a seamless transition for the patient. Ensuring medication adherence is also crucial but falls under the broader goal of continuity of care.
5. A caregiver is seeking guidance from a healthcare provider concerning a child diagnosed with impetigo. Which of the following instructions should the healthcare provider include?
- A. Apply warm compresses to the affected area.
- B. Keep the child home from school until lesions are crusted over.
- C. Apply antibiotic ointment to the lesions.
- D. Cleanse the affected area with hydrogen peroxide.
Correct answer: C
Rationale: The healthcare provider should recommend applying antibiotic ointment to the lesions to prevent the spread of infection and facilitate healing. Antibiotic ointment helps combat the bacterial infection associated with impetigo and supports the skin's recovery process. This approach aids in reducing symptoms, preventing complications, and promoting a quicker resolution of the condition.
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