ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. Which patient should the nurse see first?
- A. A 1-month-old infant looking at a shiny, round battery just out of arm's reach.
- B. A 56-year-old patient with oxygen and a lighter on the bedside table.
- C. A 56-year-old patient with oxygen using an electric razor for grooming.
- D. A bedridden patient who has a reddened area on the buttocks and needs to be turned.
Correct answer: B
Rationale: The correct answer is B because the patient with oxygen and a lighter on the bedside table is at immediate risk of fire. Oxygen promotes combustion, and having a lighter nearby poses a serious safety hazard. This situation requires urgent attention to prevent a potential disaster. Choices A, C, and D do not present immediate life-threatening risks compared to the patient with oxygen and a lighter nearby.
2. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of training soldiers for survival on the battlefield?
- A. Accountability
- B. Personal/professional development
- C. Individual training
- D. Military appearance/physical condition
Correct answer: C
Rationale: The correct answer is C: Individual training. Individual training involves preparing soldiers for specific tasks like survival on the battlefield. Accountability (choice A) refers to being answerable for one's actions, not directly related to training soldiers. Personal/professional development (choice B) focuses on growth and advancement of individuals, not specific training for battlefield survival. Military appearance/physical condition (choice D) pertains to the physical attributes and presentation of soldiers, not directly related to training them for survival.
3. How should a healthcare provider manage a patient with chronic pain?
- A. Administer analgesics
- B. Encourage physical activity
- C. Administer non-pharmacological interventions
- D. Encourage deep breathing exercises
Correct answer: A
Rationale: Administering prescribed analgesics is a crucial aspect of managing chronic pain effectively. Analgesics help alleviate pain symptoms and improve the patient's quality of life. While physical activity and non-pharmacological interventions can also play a role in pain management, the immediate need for relief in chronic pain often requires pharmacological intervention. Encouraging deep breathing exercises may provide some relief in certain situations, but it may not be as effective as analgesics for managing chronic pain.
4. A sixteen-year-old boy is diagnosed with osteosarcoma. What information should the nurse know regarding the treatment plan?
- A. Amputation of the affected extremity is rarely necessary.
- B. Intensive radiation is the primary treatment modality.
- C. Treatment usually consists of surgery and chemotherapy.
- D. Bone marrow transplantation is the preferred option for long-term survival.
Correct answer: C
Rationale: Osteosarcoma is typically treated with a combination of surgery and chemotherapy. This approach aims to remove the tumor and reduce the risk of metastasis. Amputation of the affected extremity may be necessary in some cases to ensure complete removal of the tumor. Intensive radiation is not the primary treatment for osteosarcoma, and bone marrow transplantation is not the standard treatment for this type of cancer.
5. Transmission of HIV from an infected individual to another person occurs:
- A. Most frequently in nurses with needlesticks
- B. Only if there is a large viral load in the blood
- C. Most commonly as a result of sexual contact
- D. In all infants born to women with HIV infection
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
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