ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. A client with hypertension is receiving teaching from a healthcare provider. Which statement demonstrates comprehension of the instruction?
- A. I will limit my daily salt intake to 3g
- B. I will discontinue my medication when I start feeling better
- C. I will adhere to a consistent daily medication schedule
- D. I will engage in 60 minutes of exercise every day
Correct answer: C
Rationale: Choice C is the correct answer because taking hypertension medication at the same time each day ensures its effectiveness in managing blood pressure. Consistency in medication intake is crucial to control hypertension. Option A focuses on dietary management, which is essential but not directly related to medication adherence. Option B is incorrect as stopping hypertension medication abruptly can lead to complications. Option D addresses the importance of exercise, which is beneficial for hypertension but not directly related to medication adherence.
2. A nurse is caring for a client who requires seclusion to prevent harm to others on the unit. Which action should the nurse take?
- A. Offer fluids every 2 hours.
- B. Document the client's behavior prior to being placed in seclusion.
- C. Discuss with the client their inappropriate behavior prior to seclusion.
- D. Assess the client's behavior every hour.
Correct answer: B
Rationale: The correct answer is to document the client's behavior prior to seclusion. Documenting the behavior is crucial as it helps justify the need for seclusion, provides a clear record of events leading up to the intervention, and ensures transparency in the client's care. Offering fluids every 2 hours (Choice A) is important for hydration but is not directly related to the situation of seclusion. Discussing the inappropriate behavior with the client (Choice C) may not be safe or appropriate when seclusion is necessary for preventing harm. Assessing the client's behavior every hour (Choice D) is important but may not be the most immediate action needed when seclusion is already in place.
3. Which of the following describes the four-step method of assessment, planning, implementation, and evaluation?
- A. It is a problem-focused process of continued nursing care
- B. It is an open-ended process of continued nursing care
- C. It is a circular process of continued nursing care
- D. It is a trial-and-error process of continued nursing care
Correct answer: C
Rationale: The correct answer is C: 'It is a circular process of continued nursing care.' The four-step method of assessment, planning, implementation, and evaluation in nursing is a continuous and cyclical process. Choice A is incorrect because the method is not solely problem-focused; it involves a comprehensive approach. Choice B is incorrect as it does not capture the cyclical nature of the process. Choice D is incorrect as the method is systematic and not based on trial-and-error but rather evidence-based practice.
4. Which medication is used to reverse the effects of opioid overdose?
- A. Naloxone
- B. Epinephrine
- C. Atropine
- D. Lidocaine
Correct answer: A
Rationale: Naloxone is the correct answer. Naloxone is specifically used to reverse the effects of opioid overdose by binding to opioid receptors and blocking the effects of opioids. Epinephrine is mainly used to treat severe allergic reactions, Atropine is used for certain types of heart conditions and to reduce salivation or respiratory secretions, and Lidocaine is a local anesthetic used for numbing purposes. Therefore, choices B, C, and D are incorrect in the context of reversing opioid overdose.
5. A client has been prescribed Aspirin for prevention of cardiovascular disease. Which of the following findings indicates the medication is effective?
- A. The client has a decrease in troponin levels.
- B. The client has a regular heart rhythm.
- C. The client experiences a decrease in episodes of angina.
- D. The client's blood pressure remains stable.
Correct answer: C
Rationale: The correct answer is C. A decrease in episodes of angina is an indicator of Aspirin's effectiveness in preventing cardiovascular events. Aspirin works by inhibiting platelet aggregation, thereby reducing the formation of blood clots that could lead to angina episodes or more severe cardiovascular complications. Choices A, B, and D are incorrect because troponin levels, heart rhythm, and blood pressure are not direct indicators of Aspirin's effectiveness in preventing cardiovascular events.
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