ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B
1. Which of the following is a recommended approach for handling aggressive behavior in a mental health setting?
- A. Encourage the client to express their feelings through physical activity
- B. Avoid making eye contact to prevent escalation
- C. Use pharmacological interventions immediately
- D. Maintain eye contact, offer clear choices, and set boundaries
Correct answer: D
Rationale: The recommended approach for handling aggressive behavior in a mental health setting is to maintain eye contact, offer clear choices, and set boundaries. This approach can help de-escalate the situation by establishing communication and structure. Choice A is incorrect as encouraging physical activity may not be suitable during an aggressive episode. Choice B is incorrect because avoiding eye contact can hinder communication and resolution. Choice C is also incorrect as pharmacological interventions should not be the immediate go-to method for managing aggression unless absolutely necessary.
2. Each statement regarding the correlation between vitamin D and sun exposure is accurate, except one. Which is the exception?
- A. The body can produce sufficient amounts of vitamin D from sunlight.
- B. UV radiation can convert a precursor of vitamin D to vitamin D3 by penetrating uncovered skin.
- C. Sunscreen blocks the formation of vitamin D3.
- D. By the age of 70 years, the skin generally produces vitamin D at only half the level it did at the age of 20 years.
Correct answer: C
Rationale: While UV radiation can penetrate uncovered skin and convert a precursor of vitamin D to vitamin D3, sunscreen does block the formation of vitamin D3. Sunscreen is recommended by dermatologists to prevent sunburn and reduce the risk of skin cancer. The other choices are correct: the body can produce sufficient vitamin D from sunlight, UV radiation can convert a precursor of vitamin D to vitamin D3, and skin generally produces less vitamin D as a person ages.
3. A patient with Hodgkin lymphoma is receiving radiation therapy. What side effect should the nurse monitor for that is most common with this type of treatment?
- A. Alopecia
- B. Fatigue
- C. Nausea
- D. Mucositis
Correct answer: D
Rationale: Mucositis is a common side effect of radiation therapy that should be closely monitored.
4. The nurse is caring for a client on enalapril (Vasotec). What is the most important side effect to monitor?
- A. Cough
- B. Hyperkalemia
- C. Hypotension
- D. Dizziness
Correct answer: A
Rationale: The correct answer is A: Cough. Enalapril is an ACE inhibitor, and cough is a common side effect associated with this class of medication. Monitoring for cough is crucial as it can indicate the development of a potentially serious condition known as angioedema. Hyperkalemia (choice B) is a possible side effect of ACE inhibitors but is not the most important side effect to monitor. Hypotension (choice C) and dizziness (choice D) are also potential side effects of enalapril; however, cough takes precedence due to its association with angioedema, a severe adverse reaction.
5. A client at risk for osteoporosis is being taught by a nurse about dietary measures to increase calcium intake. Which of the following foods should the nurse recommend?
- A. Carrots
- B. Cottage cheese
- C. Bananas
- D. Broccoli
Correct answer: D
Rationale: The correct answer is D: Broccoli. Broccoli is high in calcium, making it a suitable recommendation for clients at risk for osteoporosis. Carrots, Cottage cheese, and Bananas are not significant sources of calcium compared to broccoli, and therefore, they are not the best choices to increase calcium intake.
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