ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B
1. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?
- A. Have adolescents lead peer discussions in schools about safe sexual practices
- B. Distribute condoms through remote community clinics
- C. Create commercial advertisements describing the long-term effects of HIV
- D. Include information about perinatal HIV transmission at prenatal education classes
Correct answer: B
Rationale: The correct answer is B. Distributing condoms addresses financial barriers by providing access to essential protective measures in remote areas. Choice A focuses on education rather than direct intervention related to financial factors. Choice C involves advertising and not a direct intervention to address financial factors. Choice D pertains to education about HIV transmission rather than directly addressing financial barriers affecting community health.
2. A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes mellitus. Which of the following client statements indicates a need for further teaching?
- A. I will check my blood glucose level once a week.
- B. I will eat a snack if my blood glucose level is above 200 mg/dL.
- C. I will take my insulin as prescribed, even when I am feeling well.
- D. I will avoid physical activity if my blood glucose level is below 100 mg/dL.
Correct answer: B
Rationale: The correct answer is B. Clients should eat a snack when their blood glucose level is low, typically below 70-100 mg/dL, not when it is high. Eating a snack when the blood glucose level is above 200 mg/dL can exacerbate hyperglycemia. Choice A is correct as checking blood glucose levels regularly is important in managing diabetes. Choice C is also correct as adherence to prescribed insulin therapy is crucial. Choice D is incorrect as physical activity can help lower blood glucose levels, especially when they are above the target range.
3. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment by observing which of the following?
- A. A chest x-ray reveals increased density in all fields
- B. The client reports feeling less anxious
- C. Diminished breath sounds are auscultated bilaterally
- D. ABG results include pH 7.48, PaO2 77 mm Hg, and PaCO2 47 mm Hg
Correct answer: B
Rationale: The correct answer is B because when a client reports feeling less anxious, it suggests that the treatment for a pulmonary embolism is effective. This is a good indicator of the client's overall well-being and response to treatment. Choices A, C, and D are incorrect because a chest x-ray revealing increased density in all fields, diminished breath sounds auscultated bilaterally, and ABG results showing specific values do not directly correlate with the effectiveness of treatment for a pulmonary embolism. While these assessments are important for monitoring the client's condition, the client's subjective report of feeling less anxious provides a more direct insight into the impact of the treatment.
4. Which best describes a primary role of nurses in promoting community health?
- A. Conducting individual health assessments
- B. Advocating for health policy changes
- C. Providing health education to groups
- D. Developing health policies
Correct answer: B
Rationale: A primary role of nurses in promoting community health involves advocating for health policy changes. By advocating for policy changes, nurses can address systemic issues that impact the health of the community as a whole, rather than focusing solely on individual assessments or education. This proactive approach allows nurses to influence broader health determinants and create sustainable improvements in community health outcomes.
5. For a patient on a ketogenic diet, which macronutrient is primarily increased?
- A. Carbohydrates
- B. Protein
- C. Fats
- D. Fiber
Correct answer: C
Rationale: The correct answer is C: Fats. A ketogenic diet is characterized by high fat intake, moderate protein intake, and very low carbohydrate intake. This diet aims to shift the body's metabolism to use fat as the primary source of energy instead of carbohydrates. Increasing fat intake while reducing carbohydrates is essential for achieving and maintaining a state of ketosis. Therefore, choices A, B, and D are incorrect as they do not align with the macronutrient adjustments required for a ketogenic diet.
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