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PN ATI Capstone Proctored Comprehensive Assessment 2020 A with NGN
1. A charge nurse is planning care for a group of patients on a med-surg unit. What task should the nurse delegate to an assistive personnel?
- A. Measure hourly urinary output for the postoperative patient.
- B. Administer medications to stable patients.
- C. Reinforce patient education.
- D. Initiate a care plan for a new patient.
Correct answer: A
Rationale: The correct answer is A because assistive personnel can be assigned to measure and document urinary output, a routine task within their scope of practice. Administering medications (choice B) requires a higher level of training and should be done by licensed nurses. Reinforcing patient education (choice C) involves providing information and ensuring patient understanding, which is typically done by licensed healthcare providers. Initiating a care plan (choice D) involves critical thinking and assessment skills, which are beyond the scope of practice for assistive personnel.
2. When resolving a conflict, which statement made by the charge nurse is an example of smoothing?
- A. You have been a nurse a long time, so I’m sure you’re capable of the tasks.
- B. If you prefer, I can take over your assignment.
- C. We can switch your assignment with someone else.
- D. Let’s discuss your concerns in a private setting.
Correct answer: A
Rationale: The correct answer is A because it exemplifies smoothing, a conflict resolution strategy where the charge nurse reassures the staff nurse of their capabilities. Choice B offers to take over the assignment, which is more of a compromising strategy. Choice C suggests switching assignments, which aligns with compromising rather than smoothing. Choice D proposes a discussion in a private setting, indicating a collaborating approach rather than smoothing.
3. When caring for a client prescribed azithromycin, what should the nurse monitor?
- A. Liver function
- B. Signs of diarrhea
- C. Blood glucose levels
- D. Serum electrolytes
Correct answer: B
Rationale: The correct answer is to monitor signs of diarrhea when a client is prescribed azithromycin. Azithromycin is known to cause gastrointestinal side effects, particularly diarrhea. Monitoring for diarrhea is crucial to assess the client's response to the medication and to prevent complications such as dehydration. Monitoring liver function (choice A), blood glucose levels (choice C), and serum electrolytes (choice D) are not typically indicated specifically for clients prescribed azithromycin unless there are other specific reasons or conditions that warrant such monitoring.
4. A client receiving chemotherapy is experiencing neutropenia. Which of the following should the nurse include in this client's education?
- A. Track oral temperature weekly
- B. Gardening is a good form of mild exercise
- C. Avoid crowded events
- D. Eat plenty of fresh fruits and vegetables
Correct answer: C
Rationale: Clients with neutropenia have a weakened immune system, making them susceptible to infections. Avoiding crowded events helps reduce the risk of exposure to pathogens, thereby minimizing the chance of infections. Tracking oral temperature is important for detecting fever early, which is a sign of infection and requires immediate medical attention. While gardening can be a good form of exercise, clients with neutropenia should avoid it due to the risk of exposure to bacteria and fungi present in soil. Eating fresh fruits and vegetables is generally encouraged for overall health but may carry a risk of bacterial contamination, which could be harmful to a client with neutropenia.
5. A nurse is caring for a client prescribed the HMG CoA reductase inhibitor, atorvastatin. Which of the following should be monitored while this medication is prescribed?
- A. Liver function test
- B. Renal function test
- C. Hearing screenings
- D. Visual acuity screenings
Correct answer: A
Rationale: Corrected Rationale: Atorvastatin, an HMG CoA reductase inhibitor, can lead to hepatotoxicity. Therefore, monitoring liver function through regular tests is essential. Baseline liver function should be assessed, followed by tests at 12 weeks after starting therapy and periodically thereafter. This monitoring helps detect early signs of liver damage, including jaundice, nausea, and dark urine. Incorrect Choices Rationale: B) Renal function test is not directly affected by atorvastatin. C) Hearing screenings and D) Visual acuity screenings are not indicated for monitoring while on atorvastatin therapy.
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