ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. A patient prescribed warfarin is being taught about dietary restrictions by a healthcare provider. Which of the following foods should the patient be instructed to limit?
- A. Bananas
- B. Spinach
- C. Potatoes
- D. Apples
Correct answer: B
Rationale: The correct answer is B: Spinach. Spinach is high in vitamin K, which can interfere with the effectiveness of warfarin, an anticoagulant medication. Patients taking warfarin should limit foods high in vitamin K to maintain the medication's effectiveness and consistent dosage. Bananas, potatoes, and apples are not high in vitamin K and do not typically interfere with warfarin therapy.
2. A nurse is planning care for a client who is receiving hemodialysis. What action should the nurse include in the plan?
- A. Withhold all medications until after dialysis.
- B. Rehydrate with dextrose 5% in water for orthostatic hypotension.
- C. Check the vascular access site for bleeding after dialysis.
- D. Give an antibiotic 30 minutes before dialysis.
Correct answer: C
Rationale: The correct action that the nurse should include in the plan for a client receiving hemodialysis is to check the vascular access site for bleeding after dialysis. This is important to prevent complications such as infection or excessive bleeding. Withholding all medications until after dialysis (Choice A) is not necessary unless specific medications need to be avoided due to the dialysis process. Rehydrating with dextrose 5% in water for orthostatic hypotension (Choice B) is not directly related to post-dialysis care. Giving an antibiotic 30 minutes before dialysis (Choice D) is not a standard practice unless there is a specific clinical indication.
3. The early approach in psychology that fostered the development of modern-day applied psychology was?
- A. Structuralism
- B. Behaviorism
- C. Functionalism
- D. Pragmatism
Correct answer: C
Rationale: Functionalism is the correct answer. Functionalism was an early approach in psychology that emphasized the practical applications of psychological research, laying the groundwork for modern-day applied psychology. Structuralism, focusing on the structure of the mind, and Behaviorism, emphasizing observable behaviors, were more theoretical in nature and did not directly lead to applied psychology. Pragmatism is a philosophical approach and not a specific early psychological theory.
4. After providing discharge teaching, a nurse assesses the clients understanding regarding increased risk for metabolic alkalosis. Which statement indicates the client needs additional teaching?
- A. . I dont drink milk because it gives me gas and diarrhea
- B. I have been taking digoxin every day for the last 15 years
- C. . I take sodium bicarbonate after every meal to prevent heartburn
- D. In hot weather, I sweat so much that I drink six glasses of water each day.
Correct answer: . I take sodium bicarbonate after every meal to prevent heartburn
Rationale:
5. Nurse Mike is providing care to a client with chronic myelogenous leukemia (CML). The nurse knows that the client is at risk for tumor lysis syndrome. Which of the following laboratory values requires immediate intervention?
- A. Increased uric acid level
- B. Increased serum potassium level
- C. Increased serum sodium level
- D. Increased fibrinogen level
Correct answer: A
Rationale: The correct answer is A: Increased uric acid level. In tumor lysis syndrome, rapid cell destruction releases large amounts of potassium, phosphate, and nucleic acids into the bloodstream. Uric acid can accumulate rapidly, leading to hyperuricemia, which can result in kidney damage due to urate crystal deposition. Immediate intervention is necessary to prevent renal complications. Choices B, C, and D are incorrect because while electrolyte imbalances are common in tumor lysis syndrome, hyperuricemia with potential kidney damage is the priority concern that requires immediate attention.
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