ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. A client has a new prescription for folic acid and believes it's only for pregnant women. What statement should the nurse make?
- A. Folic acid is important only for pregnant women.
- B. You don’t need folic acid if you eat a balanced diet.
- C. Folic acid is important for the building of blood cells for adults and children.
- D. You should take folic acid only if your blood tests show a deficiency.
Correct answer: C
Rationale: The correct answer is C because folic acid is essential for the production of red blood cells in adults and children, not just for pregnant women. Option A is incorrect as folic acid is not exclusive to pregnant women. Option B is incorrect as a balanced diet may not provide sufficient folic acid. Option D is incorrect since folic acid supplementation is also recommended for other reasons beyond deficiency.
2. A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?
- A. Gelatin
- B. Broth
- C. Popsicle
- D. Yogurt
Correct answer: D
Rationale: The correct answer is D, Yogurt. Yogurt is not part of a clear liquid diet. A clear liquid diet includes transparent or translucent liquids such as gelatin, broth, and popsicles. Yogurt is a thicker consistency and contains solid particles, making it inappropriate for a clear liquid diet. Choices A, B, and C are suitable options for a client following a clear liquid diet.
3. A healthcare provider notices a discrepancy in the narcotics log. What is the appropriate response?
- A. Correct the narcotics log and move on.
- B. Report the discrepancy to the supervisor.
- C. Confront the provider responsible for the discrepancy.
- D. Dispose of the medication and ignore the discrepancy.
Correct answer: B
Rationale: When a healthcare provider notices a discrepancy in the narcotics log, the appropriate response is to report the issue to the supervisor. Reporting discrepancies is crucial to maintain accountability and prevent potential misuse. Choice A is incorrect because simply correcting the log without addressing the underlying issue does not ensure accountability. Choice C is inappropriate as confronting the provider directly may not be the best approach and could lead to a confrontational situation. Choice D is highly inappropriate as ignoring the discrepancy and disposing of medication without proper documentation can lead to serious consequences.
4. A client with a new prescription for sumatriptan tablets to treat migraine headaches should report which of the following symptoms to the nurse?
- A. Chew the tablet well before swallowing
- B. Report swelling of the eyelids after dosage
- C. Repeat dose in 1 hour for unrelieved headache
- D. Take daily to prevent headaches
Correct answer: B
Rationale: The correct answer is B because swelling of the eyelids is a side effect of sumatriptan tablets that requires immediate reporting to the healthcare provider to prevent further complications. Choices A, C, and D are incorrect. Chewing the tablet well before swallowing is not necessary for sumatriptan tablets. Repeating the dose in 1 hour for unrelieved headache is incorrect as this medication should not be repeated within 24 hours. Taking sumatriptan daily for headache prevention is also incorrect as it is used for acute treatment, not prevention.
5. A nurse is preparing to administer a blood transfusion. What is the most important action to ensure patient safety?
- A. Check the patient's vital signs every 15 minutes during the transfusion.
- B. Verify the patient's identity with two identifiers before starting the transfusion.
- C. Ensure the blood product is administered within 4 hours of removal from the blood bank.
- D. Ensure the patient has signed the informed consent form.
Correct answer: B
Rationale: The most important action to ensure patient safety when administering a blood transfusion is to verify the patient's identity with two identifiers before starting the transfusion. This step is crucial to prevent transfusion errors, such as giving the blood to the wrong patient. Checking vital signs, ensuring timely administration, and confirming informed consent are also important aspects of blood transfusion safety but verifying the patient's identity is the highest priority to prevent errors.
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