RN ATI Capstone Proctored Comprehensive Assessment 2019 B/ ATI Comprehensive 2019 B

RN ATI Capstone Proctored Comprehensive Assessment 2019 B/ ATI Comprehensive 2019 B

A nurse at a mental health clinic is caring for four clients. The nurse should

recognize the following clients is using dissociation as a defense mechanism?

(ANS- A client who was abused as a child describes the abuse as if it happened to

someone else

A nurse is providing teaching to a client who has a new diagnosis of type 1

diabetes mellitus. The nurse should instruct the client to monitor for which of the

following findings as a manifestation of hypoglycemia?

(ANS- irritability

A nurse in an outpatient mental health clinic is caring for four clients. The nurse

should recognize that which of the following clients is effectively using

sublimation as a defense mechanism?

(ANS- A client who channels their energy into a new hobby following the loss of

their job

A hospice nurse is consulting with a client and her family about receiving home

services. Which of the following statements should the nurse identify as an

indication that the family understands home hospice care?

(ANS- "We can expect the hospice nurse to provide support for us after our

mother's death"

A nurse is caring for a client who has active tuberculosis. Which of the following

actions should the nurse take?

(ANS- Assign the client to a private room with negative air pressure

A nurse is providing teaching to a client who is at 24 weeks of gestation and is

schedule for a 3 hour oral glucose tolerance test. Which of the following

instructions should the nurse include in the teaching?

(ANS- "You will need to fast the night before the test"

A nurse on a pediatric unit has received change of shift report for four children.

Which of the following children should the nurse assess first?

(ANS- A 10 year old child who is awaiting surgery for an appendectomy and

experienced sudden relief from pain

A nurse in a community center is providing an education session to a group of

clients about ovarian cancer. Which of the following manifestations of ovarian

cancer should the nurse include in the teaching?

(ANS- Abdominal bloating

A nurse is caring for a client who is postoperative after receiving moderate

(conscious) sedation. The client suddenly becomes restless and reports feeling

lightheaded. Which of the following actions should the nurse take?

(ANS- Check the client's oxygen saturation level

A nurse is working in an emergency department is triaging four clients. Which of

the following clients should the nurse recommend for treatment first?

(ANS- A middle adult client who has unstable vital signs

A nurse is providing teaching for a client who has a fracture of the right fibula with

a short leg cast in place and a new prescription for crutches. The client is non-

weight bearing for 6 weeks. Which of the following instructions should the nurse

include in the teaching?

(ANS- Use a three-point gait

A nurse is preparing to initiate IV access for an older adult client. Which of the

following sites should the nurse select when initiating the IV for this client?

(ANS- Radial vein of the inner arm

A nurse is planning to delegate client care tasks to an AP. Which of the following

tasks should the nurse plan to delegate to the AP?

(ANS- Perform gastrostomy feedings through a client's established gastrostomy

tube

A nurse is caring for a newborn immediately after delivery. Which of the following

interventions should the nurse implement to prevent heat loss by conduction?

(ANS- Use a protective cover on the scale when weighing the infant

A nurse is caring for a client who is receiving a continuous heparin infusion.

Which of the following laboratory tests should the nurse review prior to adjusting

the client's heparin?

(ANS- aPTT

A nurse administers an incorrect dose of medication to a client. The nurse

recognized the error immediately and completes and incident report. Which of the

following facts related to the incident should the nurse document in the client's

medical record?

(ANS- Time the medication was given

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