ATI RN
RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN
1. Which of the following foods is a good source of protein?
- A. Chicken
- B. Tofu
- C. Cheddar cheese
- D. Almonds
Correct answer: C
Rationale: Cheddar cheese is indeed a good source of protein, providing a significant amount per serving. While chicken and tofu are also high in protein, cheddar cheese can be a beneficial source, especially for individuals looking for non-meat options. Almonds, while nutritious, are not as high in protein compared to the other options listed.
2. When a nurse is assigned to float to another unit and feels unprepared, what is the most appropriate course of action?
- A. Refusing to take the assignment.
- B. Requesting help and clarification from the charge nurse.
- C. Completing the assignment and documenting the concerns later.
- D. Filing a formal complaint with hospital administration.
Correct answer: B
Rationale: When a nurse is assigned to float to another unit and feels unprepared, the most appropriate course of action is to request help and clarification from the charge nurse. This allows the nurse to address any concerns, seek guidance, and ensure safe patient care. Refusing the assignment (Choice A) is not a constructive approach as it may leave the unit short-staffed and compromise patient safety. Completing the assignment and documenting concerns later (Choice C) is not recommended as it delays addressing the issues at hand. Filing a formal complaint with hospital administration (Choice D) should be considered only after attempting to resolve the issue at the unit level first.
3. A nurse is teaching a client about signs of infection after surgery. What statement indicates further teaching is required?
- A. Redness and swelling are normal after surgery
- B. Any drainage from the incision site is not concerning
- C. Yellow drainage is normal
- D. I should monitor for increased redness or warmth
Correct answer: B
Rationale: The correct answer is B. Any drainage from the incision site should be monitored, and any signs of infection, such as increased redness or warmth, need to be reported to the healthcare provider. Choices A, C, and D provide accurate information about signs of infection after surgery and do not indicate a need for further teaching.
4. When educating a patient with hypertension about lifestyle changes, what is the most crucial advice to provide?
- A. Advise the patient to reduce salt intake.
- B. Instruct the patient to limit alcohol consumption.
- C. Recommend the patient to exercise for 30 minutes every day.
- D. Instruct the patient to avoid high-cholesterol foods.
Correct answer: A
Rationale: The most critical lifestyle change for a patient with hypertension is to reduce salt intake. Excessive salt consumption can lead to increased blood pressure levels. While limiting alcohol consumption (Choice B) and regular exercise (Choice C) are also beneficial for managing hypertension, reducing salt intake has a more direct impact on blood pressure control. Avoiding high-cholesterol foods (Choice D) is important for heart health but may not have as significant an impact on blood pressure as reducing salt intake.
5. What is the primary intervention for a client diagnosed with delirium?
- A. Provide a quiet and calm environment to minimize confusion
- B. Administer medication to reverse the symptoms of delirium
- C. Provide opportunities for social interaction to reduce isolation
- D. Encourage the client to remain physically active
Correct answer: A
Rationale: The correct answer is A: Provide a quiet and calm environment to minimize confusion. For clients diagnosed with delirium, creating a tranquil setting can help reduce agitation and disorientation. This intervention aims to decrease stimuli that may exacerbate symptoms. Administering medication (choice B) is not the primary intervention for delirium; it is usually reserved for specific underlying causes. While social interaction (choice C) and physical activity (choice D) are beneficial for overall well-being, they are not the primary interventions for managing delirium.
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