ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. Which action by the nurse will help reduce the risk of venous thromboembolism (VTE) in a postoperative patient?
- A. Encourage early ambulation and leg exercises.
- B. Apply compression stockings to the patient's legs.
- C. Administer anticoagulants as prescribed.
- D. Elevate the patient's legs to promote circulation.
Correct answer: A
Rationale: The correct answer is to encourage early ambulation and leg exercises. By promoting early ambulation and leg exercises, blood flow is enhanced, reducing the risk of venous thromboembolism (VTE) in postoperative patients. Choice B, applying compression stockings, helps prevent VTE but is not as effective as early ambulation and exercises. Choice C, administering anticoagulants, is important in VTE prevention but does not directly address improving circulation through physical activity. Choice D, elevating the patient's legs, may be beneficial for circulation in specific cases but is not as effective in preventing VTE as early ambulation and leg exercises.
2. Which of the following drugs has a therapeutic effect that prevents thromboembolic events?
- A. Warfarin
- B. Amlodipine
- C. Nitroglycerin
- D. Clopidogrel
Correct answer: A
Rationale: The correct answer is Warfarin. Warfarin is an anticoagulant medication that helps prevent thromboembolic events by inhibiting the formation of blood clots. It is commonly used to reduce the risk of strokes or heart attacks in patients at risk for thrombosis.
3. A client prescribed lithium for bipolar disorder is receiving education from a healthcare provider. Which statement by the client indicates a need for further teaching?
- A. I should avoid eating aged cheeses and processed meats.
- B. I need to maintain a consistent sodium intake.
- C. I should drink plenty of fluids to stay hydrated.
- D. I can take over-the-counter medications without consulting my healthcare provider.
Correct answer: D
Rationale: The correct answer is D. Taking over-the-counter medications without consulting the healthcare provider is not recommended for clients on lithium therapy as there can be potential interactions between lithium and certain medications. It is crucial for clients on lithium to always consult their healthcare provider before taking any over-the-counter medications to ensure the safety and effectiveness of their treatment. Choices A, B, and C are all correct statements that align with managing lithium therapy, emphasizing the importance of dietary restrictions and adequate hydration, as well as monitoring sodium intake to maintain the therapeutic effects of lithium.
4. A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?
- A. “Stable angina is predictable in its frequency, intensity, and duration. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
- B. “Unstable angina is caused by spasms of the coronary arteries. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
- C. “Unstable angina is predictable in its frequency, intensity, and duration. Stable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
- D. “Stable angina is caused by spasms of the coronary arteries. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
Correct answer: “Stable angina is predictable in its frequency, intensity, and duration. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest.”
Rationale: Stable angina is typically triggered by physical exertion or emotional stress and is predictable in its frequency, intensity, and duration. In contrast, unstable angina is characterized by angina episodes that are unexpected, more severe, prolonged, and can occur at rest. Understanding these differences can help healthcare providers assess and manage angina episodes effectively, ensuring appropriate interventions are implemented promptly based on the type of angina present.
5. The classic definition of public health is:
- A. It is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.
- B. It is the health of individuals and communities that are, to a large extent, affected by a combination of many factors.
- C. It refers to the overall health of individuals, families, and communities being influenced by various factors in the ecosystem.
- D. It is the science and art of preventing disease, prolonging life, and promoting health through organized community efforts for sanitation, disease control, and health education.
Correct answer: D
Rationale: The classic definition of public health is focused on the science and art of preventing disease, prolonging life, and promoting health through organized community efforts. This definition emphasizes the importance of community-based interventions to improve public health outcomes such as sanitation, disease control, and health education. Public health aims to address the health needs of populations rather than just individuals, highlighting the collective approach to enhancing the well-being of communities.
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