ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B
1. A client has a new prescription for lisinopril. Which of the following statements indicates an understanding of the teaching?
- A. I should take this medication with food
- B. I should report a cough to my provider
- C. I should expect to have facial swelling when taking this medication
- D. I should increase my intake of potassium-rich foods
Correct answer: B
Rationale: The correct answer is B. Reporting a cough is crucial when taking lisinopril as it can be a sign of a serious side effect, such as angioedema or cough associated with ACE inhibitors. Option A is incorrect because lisinopril can be taken with or without food. Option C is incorrect as facial swelling is not an expected side effect of lisinopril. Option D is incorrect because lisinopril can cause hyperkalemia, so increasing potassium-rich foods without healthcare provider guidance can be dangerous.
2. A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?
- A. A client awaiting a screening colonoscopy later that day
- B. A client whose discharge was cancelled the prior day because they developed respiratory distress
- C. A client who is 6 hr postoperative following an open cholecystectomy
- D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity
Correct answer: A
Rationale: The nurse manager should recommend the client awaiting a screening colonoscopy later that day for early discharge following a mass casualty event. This client is stable and not in immediate need of hospital care. Choices B, C, and D involve clients who require ongoing monitoring and care due to recent developments or treatments, making them unsuitable for early discharge during a mass casualty event.
3. A patient prescribed warfarin is being taught about dietary restrictions by a healthcare provider. Which of the following foods should the patient be instructed to limit?
- A. Bananas
- B. Spinach
- C. Potatoes
- D. Apples
Correct answer: B
Rationale: The correct answer is B: Spinach. Spinach is high in vitamin K, which can interfere with the effectiveness of warfarin, an anticoagulant medication. Patients taking warfarin should limit foods high in vitamin K to maintain the medication's effectiveness and consistent dosage. Bananas, potatoes, and apples are not high in vitamin K and do not typically interfere with warfarin therapy.
4. A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for gentamicin IV every 8 hours. Which of the following serum laboratory results should the nurse report to the provider before administering the gentamicin?
- A. Hematocrit 45%
- B. Sodium 140 mEq/L
- C. Creatinine 2.4 mg/dL
- D. Potassium 4.0 mEq/L
Correct answer: C
Rationale: An elevated creatinine level indicates potential kidney dysfunction, which is crucial when administering gentamicin as it can be nephrotoxic. Reporting a high creatinine level to the provider is essential to prevent further kidney damage. Choice A (Hematocrit 45%) is within the normal range and not directly related to gentamicin administration. Choice B (Sodium 140 mEq/L) and Choice D (Potassium 4.0 mEq/L) are also within normal limits and do not directly impact the administration of gentamicin.
5. A patient is being taught to use TD nitroglycerin patches to treat angina pectoris. What instructions should be included?
- A. Apply a patch every 12 hours
- B. Apply a new patch every morning
- C. Use it only when symptoms appear
- D. Rotate the application site weekly
Correct answer: B
Rationale: The correct answer is to apply a new patch every morning. Nitroglycerin patches should be applied in the morning and removed at bedtime to provide a 14-hour nitrate-free interval, preventing tolerance development. Choice A is incorrect because applying a patch every 12 hours may lead to tolerance. Choice C is incorrect because nitroglycerin patches are used prophylactically, not just when symptoms appear. Choice D is incorrect because rotating the application site weekly is not necessary; the same site can be used as long as there is no skin irritation.
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