ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. A healthcare provider writes a prescription for a medication dose three times the normal range. What should the nurse do?
- A. Administer the medication as prescribed
- B. Question the prescription with the provider
- C. Consult with the pharmacist about the dosage
- D. Delay the medication until verification can be made
Correct answer: B
Rationale: The correct action for the nurse in this situation is to question the prescription with the provider. Administering a medication dose three times the normal range without clarification could pose serious risks to the client. Consulting with the pharmacist about the dosage or delaying the medication until verification can be made are not the initial steps to take; the nurse should first clarify the prescription with the healthcare provider to ensure patient safety.
2. A nurse manager assigns a new nurse to care for a client with unstable blood pressure. What is the nurse's priority action?
- A. Ask the charge nurse for assistance.
- B. Recheck the blood pressure before calling for help.
- C. Monitor the client's blood pressure closely.
- D. Administer antihypertensive medication immediately.
Correct answer: B
Rationale: The correct answer is to recheck the blood pressure before calling for help. When caring for a client with unstable blood pressure, the nurse's priority is to ensure an accurate assessment. Rechecking the blood pressure will confirm the instability and guide further actions. Asking the charge nurse for assistance (Choice A) is important but should come after assessing the situation. Monitoring the client's blood pressure closely (Choice C) is essential, but the immediate action should be to recheck and confirm the current status. Administering antihypertensive medication immediately (Choice D) without a confirmed assessment can be dangerous and is not the initial priority.
3. A nurse is assessing a postoperative patient for signs of infection. Which finding is most concerning?
- A. Mild redness at the incision site.
- B. Increased drainage from the surgical site.
- C. Fever of 101°F.
- D. Normal white blood cell count.
Correct answer: C
Rationale: A fever of 101°F is the most concerning finding when assessing a postoperative patient for signs of infection. Fever can indicate an inflammatory response to an infection, and in a postoperative patient, it can signal a surgical site infection or a systemic infection. Prompt attention is necessary to prevent complications such as sepsis. Mild redness at the incision site and increased drainage can be expected in the early postoperative period due to the normal healing process. A normal white blood cell count does not rule out infection as it can be influenced by various factors, and some infections may not initially cause a rise in white blood cells.
4. A nurse observes a colleague not using proper hand hygiene. What should the nurse do first?
- A. Ignore the behavior and continue with care
- B. Discuss the behavior with other colleagues
- C. Confront the colleague about the behavior
- D. Report the behavior to the supervisor
Correct answer: D
Rationale: The correct action for the nurse to take first is to report the behavior to the supervisor. Proper hand hygiene is essential in preventing the spread of infections in healthcare settings. By reporting the observed behavior to the supervisor, the nurse is prioritizing patient safety and promoting a culture of accountability. Ignoring the behavior (Choice A) can put patients at risk, discussing it with other colleagues (Choice B) may not address the issue effectively, and confronting the colleague directly (Choice C) might not be the most appropriate initial step and could lead to conflicts rather than a constructive resolution.
5. A healthcare professional is teaching a patient how to prevent falls at home. Which instruction is most appropriate?
- A. Keep your living space well-lit.
- B. Remove loose rugs and install grab bars in the bathroom.
- C. Use furniture to provide support when walking.
- D. Wear socks without shoes to prevent slipping.
Correct answer: B
Rationale: The most appropriate instruction to prevent falls at home is to remove loose rugs and install grab bars in high-risk areas like the bathroom. This helps eliminate tripping hazards and provides stability for the patient. Keeping the living space well-lit (Choice A) is important but may not directly address fall prevention. Using furniture for support (Choice C) can lead to accidents if the furniture is not stable. Wearing socks without shoes (Choice D) increases the risk of slipping rather than preventing falls.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI RN Premium
$149.99/ 90 days
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $149.99