ATI RN
RN ATI Capstone Proctored Comprehensive Assessment A
1. The nurse notes that a healthcare provider has prescribed a higher than normal dose of medication. What action should the nurse take?
- A. Administer the prescribed dose
- B. Ask another nurse to verify the dose
- C. Administer half of the dose
- D. Contact the healthcare provider to clarify the prescription
Correct answer: D
Rationale: When a healthcare provider prescribes a dose that is higher than normal, it is crucial for the nurse to contact the provider to clarify the prescription. Administering the prescribed dose without clarification can lead to potential harm to the patient due to the elevated dosage. Asking another nurse to verify the dose may not provide the necessary clarification from the prescriber. Administering only half of the prescribed dose without consulting the healthcare provider is not the appropriate action, as the full rationale behind the higher dose needs to be understood before any administration.
2. A nurse is assessing the skin of an immobilized patient. What will the nurse do?
- A. Use a standardized tool such as the Braden Scale.
- B. Limit the amount of fluid intake.
- C. Have special times for inspection so as not to interrupt routine care.
- D. Assess the skin every 4 hours.
Correct answer: A
Rationale: The correct answer is A. When assessing the skin of an immobilized patient, it is essential to use a standardized tool such as the Braden Scale to identify patients at high risk for impaired skin integrity. This tool helps in early identification and appropriate intervention. Choice B, limiting fluid intake, is not directly related to skin assessment. Choice C, having special times for inspection, may not ensure timely identification of skin issues. Choice D, assessing the skin every 4 hours, lacks specificity regarding the use of a validated tool for risk assessment.
3. 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.
4. A nurse caring for a client under airborne precautions notes that the client is scheduled for a nuclear scan. What is the appropriate action for the nurse to take?
- A. Planning to have the nuclear scan performed at the bedside
- B. Calling the nuclear medicine department and telling the technician that the test will have to be delayed until airborne precautions have been discontinued
- C. Asking the technicians in the nuclear scan department to wear masks
- D. Placing a surgical mask on the client for transport and for contact with other individuals
Correct answer: D
Rationale: The correct action for the nurse is to place a surgical mask on the client for transport and for contact with other individuals when a patient under airborne precautions requires movement. This helps prevent the spread of infectious agents. Planning to have the nuclear scan at the bedside (Choice A) may not be feasible or appropriate. Calling the nuclear medicine department to delay the test (Choice B) may inconvenience the client and disrupt the scheduled procedure. Asking technicians in the nuclear scan department to wear masks (Choice C) does not provide adequate protection for others who may come into contact with the client outside the department.
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.
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