a school nurse is providing care for students in an elementary education facility which of the following interventions by the nurse addresses the prim

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment Form A

1. A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

A. Design interventions for a student's individual education plan (IEP).
B. Teach students about healthy food choices.
C. Perform first aid for minor injuries.
D. Perform scoliosis screenings for students.

Correct answer: B

Rationale: The correct answer is B because teaching students about healthy food choices is a primary prevention strategy that aims to prevent future health issues by promoting healthy behaviors. Choice A, designing interventions for an individual education plan (IEP), is more related to addressing specific educational needs rather than preventing health issues. Choice C, performing first aid for minor injuries, is a form of secondary prevention aimed at reducing the impact of existing health problems. Choice D, performing scoliosis screenings for students, falls under secondary prevention by detecting health issues early rather than preventing them.

2. How should a healthcare professional manage a patient with a chest tube?

A. Ensuring the chest tube is secured properly and functioning
B. Checking for air leaks and ensuring drainage is working
C. Ensuring chest tube drainage is below chest level
D. Ensuring proper documentation of chest tube output

Correct answer: D

Rationale: Proper documentation of chest tube output is crucial in the care of a patient with a chest tube. While ensuring the chest tube is secured and functioning, checking for air leaks, and maintaining drainage below chest level are important aspects of care, documentation of output is essential for monitoring the patient's condition, assessing the effectiveness of treatment, and ensuring appropriate interventions if needed.

3. A patient is admitted with signs of stroke. Which of the following diagnostic tests should the nurse anticipate as the priority?

A. CT scan
B. MRI
C. X-ray
D. Ultrasound

Correct answer: A

Rationale: A CT scan is the priority diagnostic test to identify and confirm the location and severity of a stroke.

4. How can dehydration be assessed in an elderly patient?

A. Checking skin turgor on the forearm
B. Assessing for dry mucous membranes
C. Checking for orthostatic hypotension
D. Measuring daily weights

Correct answer: A

Rationale: Assessing skin turgor by gently pinching the skin on the forearm is a reliable method to check for dehydration in elderly patients. When the skin is slow to return to its original position, it indicates dehydration. While assessing for dry mucous membranes is also important, checking skin turgor is a more direct method for dehydration assessment. Checking for orthostatic hypotension is more related to circulation status than dehydration. Measuring daily weights is helpful to monitor fluid balance but may not be as immediate or direct in detecting dehydration in elderly patients.

5. While working the night shift, a nurse observes a colleague behaving strangely. What is the best course of action?

A. Ignore the behavior and continue working
B. Report the behavior to the supervisor
C. Ask the colleague if everything is okay
D. Discuss the behavior with other colleagues

Correct answer: B

Rationale: When a nurse observes a colleague behaving strangely, the best course of action is to report the behavior to the supervisor. Unusual behavior by a healthcare professional could compromise patient safety and should be addressed promptly. Ignoring the behavior (Choice A) could potentially lead to negative outcomes for patients. Asking the colleague directly (Choice C) may not be appropriate if the behavior poses a risk. Discussing the behavior with other colleagues (Choice D) may not directly address the issue and could lead to gossip rather than a resolution.