ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form A
1. A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process?
- A. Discontinue current medications
- B. Write new prescriptions
- C. Compare prescriptions with the client’s medications
- D. Ask the client to decide
Correct answer: C
Rationale: The correct action in the medication reconciliation process is to compare prescriptions with the client’s medications. This step ensures that there are no conflicting medications prescribed, reducing the risk of adverse drug interactions. Discontinuing current medications or writing new prescriptions without comparing them can lead to errors and potential harm. Asking the client to decide is not appropriate in this context as it is the nurse's responsibility to ensure medication safety based on professional judgment and knowledge.
2. Who founded functionalism?
- A. John Watson.
- B. Sigmund Freud.
- C. William James.
- D. Wilhelm Wundt.
Correct answer: C
Rationale: William James is credited with founding functionalism, which emphasizes the adaptive purpose of consciousness. John Watson is associated with behaviorism, not functionalism. Sigmund Freud is known for psychoanalysis, and Wilhelm Wundt is considered the founder of modern psychology and structuralism, not functionalism.
3. Weight loss therapies that rely on juicing typically provide increased fiber, vitamins, and minerals. As an added incentive, juices contain a lower concentration of sugar than the whole fruit. Are these statements true or false?
- A. Both statements are true
- B. Both statements are false
- C. The first statement is true; the second is false
- D. The first statement is false; the second is true
Correct answer: B: Both statements are false
Rationale: The correct answer is both statements are false. The process of juicing often extracts the liquid components of fruits and vegetables, leaving behind the fiber-rich pulp. Therefore, juicing does not typically provide increased fiber. Additionally, juices can contain a higher concentration of sugar than whole fruits because the fiber, which helps to slow down the absorption of sugar, has been removed. This can lead to a spike in blood sugar levels after consumption. The other options are incorrect because they contain at least one false statement.
4. A nurse is preparing to administer medications to four clients. The nurse should administer medications to which client first?
- A. A client who has pneumonia and a WBC count of 11,500/mm3 prescribed piperacillin
- B. A client who has renal failure and a serum potassium of 5.8 mEq/L prescribed sodium polystyrene sulfonate
- C. A client who is post-coronary artery bypass graft (CABG) prescribed atorvastatin
- D. A client who has anemia and a hemoglobin level of 11g/dL prescribed epoetin alfa
Correct answer: B
Rationale: The correct answer is B. The client with renal failure and high potassium levels requires immediate attention because hyperkalemia can lead to life-threatening cardiac complications. Administering sodium polystyrene sulfonate helps lower the potassium levels. Choice A, the client with pneumonia and a high WBC count, although important, does not present an immediate life-threatening condition. Choice C, the post-CABG client prescribed atorvastatin, and Choice D, the client with anemia and a hemoglobin level of 11g/dL prescribed epoetin alfa, do not require immediate intervention compared to managing hyperkalemia in a client with renal failure.
5. What is homeostasis?
- A. The inability to keep body weight within normal limits.
- B. Room temperature decreasing because a window is open.
- C. Ingestion of more food than needed.
- D. The tendency of the body to maintain a stable internal environment.
Correct answer: D
Rationale: The correct answer is D: Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. Choices A, B, and C are incorrect. Choice A describes obesity, choice B describes a specific scenario with room temperature, and choice C refers to overeating, which is not related to homeostasis.
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