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 nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (SATA)

  • A. Top fruits with yogurt
  • B. Add cream to soups
  • C. Increase fluids during meals
  • D. Use milk instead of water in recipes
Correct Answer: A

Rationale: Topping fruits with yogurt is the correct recommendation to increase calorie and protein intake for a client on chemotherapy who is losing weight. Yogurt is a good source of protein and adding it to fruits can provide additional calories as well. Choice B, adding cream to soups, may increase calorie intake but does not specifically address protein needs. Choice C, increasing fluids during meals, is important for hydration but does not directly address calorie and protein intake. Choice D, using milk instead of water in recipes, may increase calorie content but does not focus on increasing protein intake, which is essential for clients on chemotherapy.

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A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?

  • A. Notify the provider
  • B. Check the condition of the client
  • C. Document the occurrence in the electronic medical record
  • D. Complete an incident report
Correct Answer: B

Rationale: The correct answer is to 'Check the condition of the client' first. When a medication error occurs, the nurse's initial priority should be to assess the client's condition to address any immediate harm or side effects. Notifying the provider can come after ensuring the client's safety. Documenting the occurrence in the electronic medical record and completing an incident report are important steps but should follow the assessment of the client's condition to prioritize patient safety.

A client with diabetes mellitus is prescribed prednisone for a rash. Which statement by the client indicates the need for further teaching?

  • A. I might have trouble falling asleep while taking prednisone
  • B. I might feel emotional when I am on this medicine
  • C. I might need to increase my regular insulin during this time
  • D. I will gradually stop the prednisone when my rash goes away
Correct Answer: D

Rationale: The correct answer is D. Prednisone should never be stopped abruptly; it must be tapered down. Stopping it suddenly can lead to adrenal insufficiency. Choices A, B, and C are all potential side effects or considerations when taking prednisone and do not indicate a need for further teaching.

A client who has been having frequent tonic-clonic seizures is being admitted by a nurse. Which of the following actions should the nurse add to the client's plan of care?

  • A. Apply restraints
  • B. Use soft wristbands
  • C. Wrap blankets around side rails
  • D. Administer sedatives
Correct Answer: C

Rationale: The correct action the nurse should add to the client's plan of care is to wrap blankets around side rails. This helps prevent injury during seizures by providing a cushioned surface against the hard rails. Applying restraints (Choice A) is not recommended as it can cause harm during a seizure. Using soft wristbands (Choice B) may not provide adequate protection against injury. Administering sedatives (Choice D) is not typically indicated for managing tonic-clonic seizures as they require specific anti-seizure medications.

A home health nurse is teaching about chest physiotherapy (CPT) treatments to a client with COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood?

  • A. My coughing will decrease during CPT treatments.
  • B. CPT treatments will decrease my respiratory infections.
  • C. I will perform postural drainage after eating meals.
  • D. CPT treatments will help cure my COPD.
Correct Answer: B

Rationale: The correct answer is B because chest physiotherapy (CPT) helps reduce respiratory infections by loosening mucus in the lungs. Choice A is incorrect because coughing may temporarily increase during CPT treatments as mucus is being cleared. Choice C is incorrect because postural drainage is typically performed before meals. Choice D is incorrect because while CPT can help manage symptoms and improve lung function in COPD, it does not cure the disease.

A patient is being treated for dehydration. Which lab result would support the diagnosis?

  • A. Elevated hemoglobin
  • B. Low sodium level
  • C. High white blood cell count
  • D. Elevated BUN
Correct Answer: D

Rationale: Elevated BUN levels are a characteristic finding in dehydration due to reduced kidney perfusion and increased reabsorption of urea. Hemoglobin levels might be elevated in conditions like polycythemia vera, not directly related to dehydration. A low sodium level could be seen in conditions like hyponatremia. A high white blood cell count is more indicative of infection or inflammation rather than dehydration.

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