ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B
1. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?
- A. Rub your hands together for at least 10 seconds when washing them.
- B. Keep your abdominal muscles tightened when lifting objects.
- C. Ensure that 20% or less of calories come from saturated fats.
- D. Engage in aerobic exercise 2 to 4 days per week for 20 minutes.
Correct answer: B
Rationale: The correct statement to include is to 'Keep your abdominal muscles tightened when lifting objects.' This practice helps protect the back from injury by providing core stability. Rubbing hands together for 10 seconds when washing them (Choice A) is a good hygiene practice, but not directly related to warehouse work safety. Ensuring 20% or less of calories come from saturated fats (Choice C) is important for overall health but not specific to workplace safety. Engaging in aerobic exercise 2 to 4 days per week for 20 minutes (Choice D) is beneficial for health but not as directly relevant to preventing injuries while working in a warehouse.
2. A client who is 97 years old has successfully been treated for heart failure and is found not breathing. There is no DNR order in place. What should the nurse do?
- A. Notify the family and await further instructions.
- B. Initiate CPR and call for emergency assistance.
- C. Allow the family to make decisions about care.
- D. Follow the family's wishes and perform no interventions.
Correct answer: B
Rationale: In this scenario, with no DNR order in place and the client not breathing, the nurse should initiate CPR and call for emergency assistance. Option A is incorrect as immediate action is required in the absence of breathing. Option C is incorrect as the nurse should act promptly to provide life-saving measures. Option D is incorrect because the nurse's primary duty is to provide care in the absence of a directive preventing intervention.
3. A patient with COPD is admitted with shortness of breath and a productive cough. Which of the following interventions should the nurse implement first?
- A. Administer oxygen at 4 L/min via nasal cannula
- B. Encourage the patient to cough and deep breathe
- C. Place the patient in a high-Fowler’s position
- D. Administer a bronchodilator as prescribed
Correct answer: C
Rationale: Placing the patient in a high-Fowler’s position should be implemented first. This intervention helps improve lung expansion, making it easier for the patient to breathe. Elevating the head of the bed reduces the work of breathing and can alleviate symptoms of respiratory distress. Administering oxygen, encouraging coughing and deep breathing, and administering a bronchodilator are important interventions in the care of a patient with COPD, but positioning the patient for optimal lung expansion takes precedence in this scenario.
4. A healthcare provider is providing teaching for a patient with a prescription for oral metronidazole, what is the priority teaching point?
- A. Report headaches
- B. Report a rash
- C. Avoid sunlight
- D. Take with meals
Correct answer: B
Rationale: The correct answer is to 'Report a rash.' Metronidazole can cause severe adverse reactions like Stevens-Johnson syndrome, a life-threatening rash. It is crucial to educate the patient to report any rash immediately to prevent serious complications. Choices A, C, and D are incorrect because while they may be relevant to consider during metronidazole therapy, they are not the priority teaching point. Headaches can occur but are not as serious as a rash; avoiding sunlight is more related to doxycycline, not metronidazole; and taking with meals is a general instruction for some medications but not the priority teaching point for metronidazole.
5. While reviewing notes from a previous shift, a nurse finds incomplete documentation. What is the most appropriate action?
- A. Complete the missing documentation
- B. Notify the nurse manager of the issue
- C. Ask the nurse to complete the documentation
- D. Confront the nurse about the incomplete notes
Correct answer: B
Rationale: The most appropriate action when finding incomplete documentation is to notify the nurse manager of the issue. This ensures that accurate records are maintained and the situation can be addressed properly. Completing the missing documentation on behalf of someone else may lead to inaccuracies, asking the nurse to complete it may not guarantee timely correction, and confronting the nurse could create a confrontational situation that is not conducive to effective teamwork.
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