ATI RN CAPSTONE COMP 2019 B

ATI RN CAPSTONE COMP 2019 B

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the

nurse's priority? Assist with deep breathing and coughing

A nurse is talking with a client who hasstage IV breast cancer. The nurse should recognize which of the

following statements by the client as a constructive use of a defense mechanism? "I told my

doctor that I would like to start a support group for other women who are sick in my community"

A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the

following actions should the nurse take?Monitor the client's mouth every 8 hr

A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the following

areas should the nurse assess for manifestations of HD? C

The nurse should assess the infant's abdomen for distention and visible peristalsis, which are

manifestations of HD

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? 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? 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? 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? "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? 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?

"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? 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? 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? 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? 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? 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? 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? Perform gastrostomy feedingsthrough a client's established gastrostomy

tube

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

the nurse implement to prevent heat loss by conduction? 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? 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? Time the medication was given

A nurse is providing education to the parent of a school age child who has asthma. Which of the

following statements by the parent indicates an understanding of the teaching? "I will make sure my

child receives a yearly influenza immunization"

A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling

off a step stool at home. Which of the following prescriptions should the nurse clarify with the provider?

Apply a cold pack to the client's ankle for 30 min every hour

A nurse is assessing a client who has a major depressive disorder and is taking amitriptyline. Which of

the following findings should the nurse identify as an adverse effect of the medication? Blurred vision

A nurse is caring for a client who has signed an informed consent form to receive electroconvulsive

therapy (ECT). The client states to the nurse "I'm not sure about this now. I'm afraid it's too risky." Which

of the following responsesshould the nurse make? "You have the right to change your mind about

the procedure at any time"

A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who

hassevere oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer?

18 g

A nurse is preparing to administer an IM injection to a client who is obese. Which of the following

actions should the nurse plan to take? Use the ventrogluteal site