ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. A client with a new prescription for levothyroxine is receiving teaching from a nurse. Which statement indicates understanding of the teaching?
- A. I should take this with food
- B. I will see immediate results
- C. I might not realize the full effect of the medication for several weeks
- D. I should stop if I feel better
Correct answer: C
Rationale: The correct answer is C: 'I might not realize the full effect of the medication for several weeks.' Levothyroxine is a medication that may take several weeks for the full effect to be evident. Choice A is incorrect because levothyroxine should be taken on an empty stomach. Choice B is incorrect because immediate results are not expected with levothyroxine. Choice D is incorrect because stopping the medication without consulting a healthcare provider can be harmful, even if the client feels better.
2. A nurse is assessing a client who is at risk for pressure injuries. Which intervention should the nurse include in the plan of care?
- A. Reposition the client every 4 hours
- B. Use a special mattress for the client
- C. Keep the client on bedrest
- D. Encourage the client to remain in one position
Correct answer: B
Rationale: The correct answer is B: 'Use a special mattress for the client.' Using a special mattress reduces pressure on bony prominences and helps prevent pressure injuries. Repositioning the client every 4 hours (choice A) is important but using a special mattress is more effective. Keeping the client on bedrest (choice C) can increase the risk of pressure injuries due to prolonged immobility. Encouraging the client to remain in one position (choice D) is incorrect as it can lead to pressure injuries by exerting pressure on the same areas for an extended period.
3. Which of the following is a role of platelets in hemostasis?
- A. formation of plugs
- B. promotion of vasodilation
- C. conversion of prothrombin to thrombin
- D. activation of calcium
Correct answer: formation of plugs
Rationale: Platelets play a crucial role in hemostasis by forming plugs to stop bleeding. Choice B is incorrect because platelets do not promote vasodilation; instead, they help in vasoconstriction. Choice C is incorrect as the conversion of prothrombin to thrombin is a function of the coagulation cascade involving various clotting factors, not platelets. Choice D is incorrect as platelets do not directly activate calcium; instead, they play a role in the activation of other clotting factors.
4. Which of the following categories identifies the focus of community/public health nursing practice?
- A. Promoting and maintaining the health of populations and preventing and minimizing the progress of disease
- B. Rehabilitation and restorative services
- C. Adaptation of hospital care to the home environment
- D. Hospice care delivery
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
5. Which of the following conditions is characterized by a 'machine-like' murmur in children?
- A. Patent ductus arteriosus
- B. Ventricular septal defect
- C. Atrial septal defect
- D. Coarctation of the aorta
Correct answer: A
Rationale: The correct answer is A, Patent ductus arteriosus. This condition is characterized by a continuous 'machine-like' murmur due to abnormal blood flow between the aorta and pulmonary artery. Ventricular septal defect (choice B) is characterized by a harsh holosystolic murmur, atrial septal defect (choice C) typically presents with a fixed split S2 and a pulmonary flow murmur, and coarctation of the aorta (choice D) is associated with a systolic murmur in the back and bilateral lower extremities.
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