ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. A nurse observes a colleague ignoring proper hand hygiene protocols. What should the nurse do first?
- A. Speak to the colleague directly.
- B. Ignore the situation, as it doesn't involve direct patient care.
- C. Report the colleague to the nursing manager.
- D. File an incident report immediately.
Correct answer: D
Rationale: The correct first action for the nurse to take in this situation is to file an incident report immediately. By doing so, the nurse ensures that the unsafe practice is documented for further investigation and corrective action. Speaking to the colleague directly may not address the root cause of the issue and could lead to potential conflicts. Ignoring the situation is not an appropriate response as it compromises patient safety. Reporting the colleague to the nursing manager should be done after filing an incident report to ensure that appropriate actions are taken to prevent future occurrences of non-compliance with hand hygiene protocols.
2. What is one limitation of the ethnographic method?
- A. Investigators' cultural values sometimes lead them to misinterpret what they see.
- B. It provides little information on how children and adults actually behave.
- C. It relies on unobtrusive techniques, such as surveillance cameras and one-way mirrors.
- D. It provides little information about the reasoning behind participants' responses.
Correct answer: A
Rationale: The limitation of the ethnographic method is that investigators' cultural values sometimes lead them to misinterpret what they see. This can introduce bias into the observations and potentially impact the accuracy of the findings. It is important for researchers to be aware of their own biases and strive to minimize their influence when conducting ethnographic studies. Choice B is incorrect because ethnographic methods actually aim to provide rich information on how individuals behave within their cultural contexts. Choice C is incorrect as ethnographic methods typically involve direct observation and participation rather than unobtrusive techniques like surveillance cameras. Choice D is incorrect because one of the strengths of ethnographic research is its ability to uncover the reasoning behind participants' responses by immersing the researcher in the cultural setting.
3. A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next?
- A. Assess clients rate, rhythm, and depth of respiration.
- B. Measure the clients pulse and blood pressure.
- C. Document the findings and continue to monitor.
- D. Notify the physician as soon as possible.
Correct answer: Assess clients rate, rhythm, and depth of respiration.
Rationale:
4. Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:
- A. Watery and frothy.
- B. Bloody and mucoid.
- C. Firm and well-formed.
- D. Alternating constipation and diarrhea.
Correct answer: B
Rationale: Stools in ulcerative colitis are typically bloody and mucoid.
5. A client has a new prescription for Tetracycline. Which of the following instructions should be included?
- A. Take the medication with milk.
- B. Avoid prolonged sun exposure.
- C. Take the medication at bedtime.
- D. Expect urine to turn dark yellow.
Correct answer: B
Rationale: The correct instruction to include for a client prescribed Tetracycline is to 'Avoid prolonged sun exposure.' Tetracycline can cause photosensitivity, making the client more sensitive to the sun's rays. This can lead to adverse reactions like sunburn or skin rashes. Therefore, it is crucial for the client to minimize sun exposure and wear protective clothing when outdoors. Choice A is incorrect because taking Tetracycline with milk can reduce its absorption. Choice C is incorrect as there is no specific requirement to take Tetracycline at bedtime. Choice D is also incorrect as Tetracycline does not typically cause dark yellow urine.
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