ATI RN
ATI Capstone Comprehensive Assessment B
1. A healthcare professional suspects a colleague of diverting narcotics. What is the first step the healthcare professional should take?
- A. Confront the colleague directly
- B. Report the suspicion to the supervisor
- C. Ignore the issue and continue working
- D. Notify the pharmacy about the colleague's behavior
Correct answer: B
Rationale: The correct first step for a healthcare professional who suspects a colleague of diverting narcotics is to report the suspicion to the supervisor. This action is essential to protect patient safety, uphold ethical standards, and comply with legal obligations. Confronting the colleague directly may not only escalate the situation but also jeopardize the investigation process. Ignoring the issue and continuing to work could potentially harm patients and violate professional responsibilities. Notifying the pharmacy, while important, should come after informing the appropriate supervisor or authority within the healthcare facility.
2. How does the concept of neural plasticity relate to recovery from brain injuries?
- A. Neural plasticity means the brain cannot recover from injuries.
- B. Neural plasticity allows the brain to recover and reorganize after injuries.
- C. Neural plasticity refers to the brain's inability to change after injury.
- D. Neural plasticity is a myth.
Correct answer: B
Rationale: Neural plasticity allows the brain to recover and reorganize after injuries. It is the brain's ability to adapt and change, forming new connections or reorganizing existing ones to compensate for damage. Choice A is incorrect as neural plasticity enables recovery. Choice C is incorrect as neural plasticity involves the brain's capacity to change. Choice D is incorrect as neural plasticity is a well-established phenomenon in neuroscience.
3. What is typically the first sign that a healthcare professional with a substance abuse problem will exhibit?
- A. Avoidance
- B. Bargaining
- C. Denial
- D. Regression
Correct answer: C
Rationale: The correct answer is C: Denial. When healthcare professionals have substance abuse problems, denial is often the initial sign they exhibit. Denial involves minimizing or refusing to acknowledge the issue, making it difficult to recognize and address the substance abuse problem. Choices A, B, and D are incorrect. Avoidance, bargaining, and regression are not typically the first signs displayed by healthcare professionals with substance abuse problems. By identifying denial early on, healthcare professionals can take the necessary steps to seek help and overcome substance abuse issues.
4. A healthcare provider is caring for a client who is prescribed Digoxin. Which of the following laboratory values should the provider monitor to assess for potential toxicity?
- A. Sodium
- B. Potassium
- C. Magnesium
- D. Calcium
Correct answer: B
Rationale: The correct answer is to monitor the client's potassium levels. Hypokalemia can increase the risk of Digoxin toxicity. Potassium levels should be closely monitored to prevent adverse effects. Monitoring sodium levels is not directly related to Digoxin toxicity. While magnesium and calcium are important electrolytes, potassium levels are more critical for Digoxin toxicity assessment.
5. The nurse is caring for clients on a medical floor. Which client will the nurse assess first?
- A. The client with an abdominal aortic aneurysm who is constipated
- B. The client on bed rest who ambulated to the bathroom
- C. The client with essential hypertension who has epistaxis and a headache
- D. The client with arterial occlusive disease who has a decreased pedal pulse
Correct answer: C
Rationale: The correct answer is C because epistaxis and headache in a client with hypertension are signs of a hypertensive crisis that necessitate immediate intervention. Choice A is incorrect as constipation in a client with an abdominal aortic aneurysm, while important, does not indicate an immediate crisis. Choice B is incorrect as a client on bed rest ambulating to the bathroom is a positive sign. Choice D is incorrect because a decreased pedal pulse in arterial occlusive disease should be addressed promptly, but it does not indicate an acute emergency like a hypertensive crisis.
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