RN ATI Capstone Proctored Comprehensive Assessment 2019 B

RN ATI Capstone Proctored Comprehensive Assessment 2019 B Related

Review RN ATI Capstone Proctored Comprehensive Assessment 2019 B related questions and content

A charge nurse is planning care for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

  • A. Giving a glycerin suppository to a client for constipation
  • B. Evaluating the effectiveness of ibuprofen administered to a client who reported a headache
  • C. Discussing dietary changes with a client who has a prescription for a gluten-free diet
  • D. Measuring hourly urinary output for a client who is postoperative
Correct Answer: D

Rationale: The correct answer is D because measuring hourly urinary output is a task that falls within the scope of practice for assistive personnel. This task involves a technical skill that can be delegated by the charge nurse. Choices A, B, and C require higher-level nursing assessments and interventions that should be performed by licensed nursing staff. Giving a glycerin suppository involves medication administration, evaluating the effectiveness of ibuprofen requires assessment and critical thinking, and discussing dietary changes involves education and assessment of the client's understanding and compliance, all of which are beyond the scope of practice for assistive personnel.

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A client in her first trimester of pregnancy is being taught by a nurse about over-the-counter medications that belong to pregnancy risk category B. Which of the following medications should the nurse include?

  • A. Naproxen
  • B. Aspirin
  • C. Ibuprofen
  • D. Acetaminophen
Correct Answer: D

Rationale: Acetaminophen is the correct choice as it belongs to pregnancy risk category B, making it considered safe during pregnancy. Naproxen, Aspirin, and Ibuprofen are not recommended during pregnancy, especially in the first trimester, as they are classified in higher-risk categories which may be harmful to the developing fetus.

A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose?

  • A. 2
  • B. 3
  • C. 4
  • D. 5
Correct Answer: C

Rationale: To calculate the mL needed, divide the total dose by the dose per mL. In this case, 40 mg divided by 10 mg/mL equals 4 mL. Therefore, the nurse should administer 4 mL per dose. Choice A, 2 mL, is incorrect because it would only deliver 20 mg of furosemide, which is half the required dose. Choices B and D are also incorrect as they do not provide the accurate amount needed to achieve the 40 mg dosage.

A client has a new prescription for clopidogrel. Which of the following instructions should the nurse include?

  • A. Take this medication with food
  • B. Take this medication three times daily
  • C. You might have to stop taking this medication 5 days before any planned surgeries
  • D. Expect to have black-colored stools while taking this medication
Correct Answer: C

Rationale: The correct answer is C. When instructing a client who is prescribed clopidogrel, the nurse should include information about stopping the medication 5 days before any planned surgeries to reduce the risk of bleeding. This is crucial to prevent excessive bleeding during surgical procedures. Choices A, B, and D are incorrect because taking the medication with food, the frequency of administration, and the possibility of black-colored stools are not specific instructions related to clopidogrel use.

A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?

  • A. Rubella
  • B. Pertussis
  • C. Influenza
  • D. Varicella
Correct Answer: D

Rationale: The correct answer is D, Varicella. Varicella (chickenpox) is a disease that requires airborne precautions to prevent its spread. Airborne precautions are necessary to prevent transmission of pathogens that remain infectious over long distances when suspended in the air. Rubella, pertussis, and influenza do not require airborne precautions. Rubella and pertussis require droplet precautions, while influenza requires droplet and contact precautions. Therefore, Varicella is the only disease in the list that necessitates airborne precautions.

A client has a new prescription for guaifenesin. What information regarding the action of guaifenesin should the nurse include in the teaching?

  • A. Decreases mucus production
  • B. Reduces nasal congestion
  • C. Increases cough production
  • D. Reduces fever
Correct Answer: C

Rationale: The correct answer is C: 'Increases cough production.' Guaifenesin is an expectorant that works by increasing cough production to help clear secretions from the airways. Option A is incorrect because guaifenesin does not decrease mucus production but rather helps to make the mucus easier to cough up. Option B is incorrect as guaifenesin does not reduce nasal congestion. Option D is incorrect because guaifenesin does not have any effect on reducing fever.

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