ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. When the nurse discovers a patient on the floor, and the patient states, 'I fell out of bed,' the nurse assesses the patient and then places the patient back in bed. What action should the nurse take next?
- A. Re-assess the patient.
- B. Complete an incident report.
- C. Notify the healthcare provider.
- D. Do nothing, as no harm has occurred.
Correct answer: C
Rationale: After a patient has fallen, it is crucial to notify the healthcare provider. The provider needs to be informed so that further assessment, evaluation, or intervention can be carried out to ensure the patient's safety and well-being. Re-assessing the patient (Choice A) is important but notifying the healthcare provider takes precedence. Completing an incident report (Choice B) is necessary but should follow notifying the healthcare provider. Doing nothing (Choice D) is not appropriate as patient safety and potential underlying issues need to be addressed promptly.
2. According to the dietary reference intakes, what percentage of your daily calorie intake should ideally come from carbohydrates?
- A. 10-35%
- B. 20-35%
- C. 40-50%
- D. 45-65%
Correct answer: D
Rationale: Carbohydrates should ideally make up 45-65% of your total daily caloric intake, according to the Dietary Reference Intakes (DRIs). This range provides the necessary energy for bodily functions and activities. Choices A, B, and C are incorrect because they fall outside the recommended range for carbohydrate intake based on the DRIs.
3. Emotions, such as pride, shame, and guilt, that depend on both self-awareness and knowledge of socially accepted standards of behavior are known as what?
- A. Self-awareness emotions
- B. Self-evaluative emotions
- C. Self-conscious emotions
- D. Egocentric emotions
Correct answer: C
Rationale: The correct answer is C: Self-conscious emotions. Self-conscious emotions like pride, shame, and guilt require not only self-awareness but also an understanding of socially accepted behaviors. These emotions involve evaluating oneself in relation to societal norms. Choices A, B, and D are incorrect because they do not accurately capture the idea of emotions that rely on both self-awareness and knowledge of socially accepted standards of behavior.
4. What is an expected finding during the assessment of a client transitioning into a new role?
- A. The client's ability to express feelings of guilt
- B. Presence of suicidal or homicidal ideation
- C. Changes in coping skills over the past few weeks
- D. Client's involvement in community activities
Correct answer: B
Rationale: During a client's transition into a new role, the presence of suicidal or homicidal ideation should be assessed due to the increased risk associated with significant life changes. This finding could indicate a need for immediate intervention. While assessing the client's ability to express feelings of guilt is important, it may not be the most critical aspect during this specific assessment. Changes in coping skills over time are relevant but might not be the primary focus during a role transition assessment. The client's involvement in community activities, although beneficial for social support, is not directly related to the immediate concerns of assessing a client transitioning into a new role.
5. A client is receiving brachytherapy for the treatment of prostate cancer. Which of the following actions should the nurse take?
- A. Cleanse equipment before removal from the client's room
- B. Limit the client's visitors to 30 minutes per day
- C. Discard the client's linens in a double bag
- D. Discard the radioactive source in a biohazard bag
Correct answer: B
Rationale: The correct action the nurse should take when caring for a client receiving brachytherapy is to limit the client's visitors to 30 minutes per day. This is crucial to reduce exposure to radiation and maintain safety during the brachytherapy procedure. Cleansing equipment before removal from the client's room may be important for infection control but is not directly related to brachytherapy procedures. Discarding the client's linens in a double bag and discarding the radioactive source in a biohazard bag are incorrect choices as they do not specifically address the safety measures needed during brachytherapy for prostate cancer.
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