ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. What is the most appropriate action for a healthcare professional to take when a medication error occurs?
- A. Document the error in the patient's medical record.
- B. Report the error to the healthcare provider immediately.
- C. Apologize to the patient and explain what happened.
- D. Continue administering the medication and monitor the patient closely.
Correct answer: B
Rationale: When a medication error occurs, the most appropriate action for a healthcare professional is to report the error to the healthcare provider immediately. This is crucial for ensuring prompt corrective action to mitigate any potential harm to the patient. Documenting the error is important but should come after reporting it to the relevant authorities. Apologizing to the patient is important for maintaining trust and communication but should not take precedence over reporting and addressing the error. Continuing to administer the medication without addressing the error is unsafe and goes against patient safety protocols.
2. A client undergoing surgery refuses to remove religious jewelry. What is the best course of action?
- A. Proceed with surgery while securing the jewelry to the patient.
- B. Remove the jewelry and document the removal.
- C. Document the refusal and delay the surgery.
- D. Remove the jewelry with the family's permission.
Correct answer: B
Rationale: The correct course of action is to remove the jewelry and document the removal. While religious beliefs should be respected, ensuring patient safety during surgery is crucial. Securing the jewelry may not be sufficient to prevent any interference during the surgical procedure. Documenting the removal is important for legal and documentation purposes. Delaying the surgery or removing the jewelry with the family's permission may not be the best options as patient safety should be the top priority in this situation.
3. What is the priority intervention for a patient experiencing chest pain?
- A. Administer nitroglycerin as prescribed.
- B. Encourage the patient to take deep breaths.
- C. Monitor the patient's blood pressure closely.
- D. Encourage the patient to rest in a comfortable position.
Correct answer: A
Rationale: The correct answer is to administer nitroglycerin as prescribed. Nitroglycerin helps relieve chest pain by dilating blood vessels and improving blood flow, addressing the immediate concern of chest pain. Encouraging deep breaths may not be appropriate for chest pain, monitoring blood pressure, although important, is not the priority when the patient is experiencing chest pain, and while resting in a comfortable position is beneficial, administering nitroglycerin is the priority intervention to address the chest pain.
4. What is the most important action for the nurse to take before administering digoxin to a patient?
- A. Check the patient's heart rate before administration.
- B. Assess the patient's blood pressure before administration.
- C. Ensure the patient has eaten before administration.
- D. Monitor the patient's weight before administration.
Correct answer: A
Rationale: The correct answer is to check the patient's heart rate before administering digoxin. Digoxin is a medication that primarily affects cardiac function. Monitoring the heart rate is crucial because digoxin can cause arrhythmias or worsen existing heart rhythm abnormalities. Assessing blood pressure may also be important but is secondary to evaluating the heart rate when administering digoxin. Ensuring the patient has eaten before administration is not directly related to the safe administration of digoxin. Monitoring the patient's weight is not a priority action before administering digoxin.
5. Which action by the nurse will help reduce the risk of venous thromboembolism (VTE) in a postoperative patient?
- A. Encourage early ambulation and leg exercises.
- B. Apply compression stockings to the patient's legs.
- C. Administer anticoagulants as prescribed.
- D. Elevate the patient's legs to promote circulation.
Correct answer: A
Rationale: The correct answer is to encourage early ambulation and leg exercises. By promoting early ambulation and leg exercises, blood flow is enhanced, reducing the risk of venous thromboembolism (VTE) in postoperative patients. Choice B, applying compression stockings, helps prevent VTE but is not as effective as early ambulation and exercises. Choice C, administering anticoagulants, is important in VTE prevention but does not directly address improving circulation through physical activity. Choice D, elevating the patient's legs, may be beneficial for circulation in specific cases but is not as effective in preventing VTE as early ambulation and leg exercises.
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