ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 A with NGN
1. The nurse is assessing the patient for respiratory complications of immobility. What action should the nurse take?
- A. Auscultate the entire lung region to assess lung sounds.
- B. Assess the patient at least every 4 hours.
- C. Focus auscultation on the upper lung fields.
- D. Inspect chest wall movements primarily during the expiratory cycle.
Correct answer: A
Rationale: Auscultating the entire lung region is the most appropriate action when assessing a patient for respiratory complications related to immobility. This approach helps the nurse identify any abnormalities in lung sounds, such as diminished breath sounds or the presence of secretions. Assessing the patient at regular intervals (choice B) is important but does not specifically address the respiratory assessment needed in this situation. Focusing auscultation on the upper lung fields (choice C) may miss potential issues in other areas. Inspecting chest wall movements primarily during the expiratory cycle (choice D) is not the most effective way to assess lung sounds and identify respiratory complications.
2. Which is the priority nursing assessment when providing care for an infant at risk for dehydration?
- A. Urine output
- B. Urine specific gravity
- C. Vital signs
- D. Daily weight
Correct answer: D
Rationale: The correct answer is Daily weight. Daily weight is a crucial assessment in infants at risk for dehydration because changes in weight can indicate fluid balance and dehydration status. It is essential to monitor daily weight to promptly identify and manage dehydration in infants.
3. Who is credited with establishing psychology as a distinct scientific field, separate from other disciplines?
- A. G. Stanley Hall
- B. René Descartes
- C. William James
- D. Wilhelm Wundt
Correct answer: D
Rationale: Wilhelm Wundt is the correct answer as he is credited with establishing psychology as a distinct scientific field. Wundt founded the first laboratory dedicated to experimental psychology in 1879, which marked the beginning of psychology as a separate discipline. While the other individuals mentioned in the choices have made significant contributions to the field of psychology, Wilhelm Wundt is specifically known for his pioneering work in establishing psychology as a unique and independent discipline.
4. Which statement best conveys an aspect of the role of cerebrospinal fluid (CSF)?
- A. CSF provides immune protection to the brain and spinal cord by serving as a physical barrier.
- B. CSF cushions the brain and spinal cord, protecting them from injury.
- C. CSF plays a limited role in the exchange of nutrients and waste products between the blood and brain.
- D. CSF functions primarily as a medium for the transmission of nerve impulses.
Correct answer: B
Rationale: The correct answer is B. Cerebrospinal fluid primarily cushions the brain and spinal cord, protecting them from injury. Choice A is incorrect because while CSF contributes to the brain's immune environment, its main role is not providing immune protection as a physical barrier. Choice C is incorrect because CSF has a significant role in the exchange of nutrients and waste products, rather than a limited one. Choice D is incorrect as CSF is not primarily a medium for nerve impulse transmission, but rather serves as a protective and supportive fluid.
5. Of the following neurotransmitters, which demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways?
- A. Serotonin
- B. Enkephalin
- C. Norepinephrine
- D. Acetylcholine
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
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