Ati capstone Proctored Comprehensive Assessment 2021

RN ATI capstone proctored comprehensive assessment

2019 A & B (Answered)

REVISION GUIDE

ATI PROCTORED CAPSTONE COMPREHENSIVE ASSESSMENT A

1. A nurse is teaching a client who has a new prescription for metformin extended-release

tablets. Which of the following statements by the client indicates an understanding of

the teaching?

a) “I will take the medication on an empty stomach.”

b) “I will take the medication in the morning.”

c) “I will avoid crushing this medication.”

d) “I will expect to gain weight.”

2. A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client

has developed hyperosmolar dehydration. Which of the following actions should the

nurse take when administering the client's findings?

Switch to a lactose-free formula.

add more water with formula

3. A nurse is providing discharge teaching to a client who has a new ostomy bag. which of

the following instructions should the nurse include?

Empty your ostomy pouch when it is half full

4. A nurse is teaching the parents of a school-age child who has sickle cell anemia about

managing the disease at home.which of the following instructions should the nurse

include?

a. Apply cold compress to painful areas

b. but I shall wear a surgical mask to school

c. encourage physical activity astolerated

d. offer fluids of bedtime

5. A nurse is teaching about Safe Handling of formula to a client who is postpartum and

chooses to bottle feed her newborn. Which of the following statements by the client

indicates an understanding of the teaching?

a) “I can dilute the ready-to-go formula with water when my baby wants more than 4

ounces at a feeding.”

b) “I can keep a can of concentrated formula in the refrigerator for 3 days after I open it.”

c) “I should boil tap water for 2 minutes and cool it before I mix it with the powdered

formula.”

d) “I will be sure that all of my bottles contain BPA.”

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6. A nurse is assessing a child who is post-operative following a tonsillectomy. Which of the

following findings should the nurse identify as the priority?

a) Blood-tinged mucus

b) Sore throat

c) Dark brown emesis

d) Frequent swallowing

7. A nurse isteaching a client who is pregnant about non-stress testing. Which of the

following statements by the client indicates an understanding of the teaching?

During this test, I will punch a button if the baby moves

During this test, I will punch a button if I feel stressed

8. A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client

reports chills, headaches, low back pain, and a feeling of tightness in his chest. The

nurse should identify that the client has developed which of the following types of

transfusion reactions?

a) Allergic

b) Febrile nonhemolytic

c) Bacterial

d) Acute hemolytic

9. A nurse is caring for a client who is in the latent phase of Labor and reports severe back

pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25%

effaced and -2 station. Which of the following interventions should the nurse

implement?

a) Place the client in a warm bath.

b) Request the provider prescribe a pudendal nerve block.

c) Apply counterpressure during each contraction.

d) Administer a dose of terbutaline to the client.

10. A nurse is teaching about how to suppress lactation with a client who is postpartum and

bottle feeding her newborn. Which of the following instructions should the nurse

include in the teaching?

a. You should apply moist heat to you breast four times per day.

b. You should wear a snug-fitting bra continuously for 72 hours

c. You should manually express milk when engorgement occurs.

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d. You should limit your fluid intake to 1 liter per day

11. A nurse is preparing to administer medication to a client. What are the following

identifiers should the nurse use to identify the client?

Telephone number

12. A nurse is caring for a client who is taking antihypertensive medication and is moving

from a supine to a seated position. Which of the following findings should indicate to

the nurse that the client is experiencing orthostatic hypotension?

The clients systolic blood pressure decreases by 25 mmHg

The clients systolic blood pressure increases by 35 mmHg

13. While a nurse is caring for a client who is receiving mechanical ventilation via an

endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the

following actions should the nurse take?

a. Look for a leak in the tube's cuff

b. Request insertion of a tracheostomy tube

c. Suction the client's airway

d. Tighten the tubing connections.

14. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the

following actions should the nurse take first?

Position the sterile drape leaving the perineum exposed

15. A nurse is planning to administer packed RBCs to an older adult client who has a low

hemoglobin level. Which of the following actions should the nurse plan to take?

a) Use a 20-gauge IV catheter to transfuse the blood.

b) Infuse the transfusion over 5 hours.

c) Hang the transfusion with dextrose 5% in 0.9% sodium chloride.

d) Monitor vital signs every hour throughout the transfusion.

16. A new nurse in an acute mental health facility is teaching a client about potential

adverse effects of transcranial magnetic stimulation. The nurse tells the client that he

might feel light-headed but that it should not affect his memory. The nurse is

demonstrating which of the following ethical principles?

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a) Fidelity

b) Autonomy

c) Veracity

d) Beneficence

17. A nurse is teaching a class about providing care within the legal scope of practice to a

group of nurses. The nurse should include that which of the following procedures is

outside the legal scope of practice for an RN?

a) Changing the inner cannula on a tracheostomy

b) Inserting a tunneled central venous catheter

c) Administering a platelet transfusion

d) Irrigation of an external ear canal

18. A nurse in an acute care facility is caring for a client who has anorexia nervosa. During

the first week of care, which of the following actions should the nurse take?

a) Obtain the client’s vital signs every other day.

b) Observe the client for 1 hour after meals.

c) Allow the client to eat meals in his room.

d) Weigh the client every 48 hours.

19. A nurse is planning care for a client who has sciatica and a prescription for a

transcutaneous electrical nerve stimulation (TENS) unit. Which of the following referral

should the nurse anticipate for the client?

a) Acupuncturist

b) Chiropractor

c) Occupational therapist

d) Physical therapist

20. A nurse is teaching a client who has generalized anxiety disorder about ways to help

manage stress. Which of the following instructions should the nurse give the client

about using Progressive relaxation?

a. Focus on a pleasant memory and express your emotions in writing

b. Tighten a muscle group, then release the tension and move to the next one.

c. Think about a positive outcome to a stressful situation.

d. Picture taking the stress you feel and pushing it down and out of your feet.

21. A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe

abdominal pain with moderate vaginal bleeding and persistent uterine contraction. The

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client's blood pressure is 88 over 50 mmhg and her abdomen is rigid. The nurse should

identify these findings as indicating which of the following complications?

Placenta previa

Prolapsed cord

Incompetent cervix

Placenta abruption

22. A home health nurse is planning care for an older adult client who has a vision loss and

takes medication throughout the day. Which of the following actions should the nurse

include in the plan?

a) Use container lids of different shapes to indicate times of administration.

b) Visit the client once per month to assess medication usage.

c) Cover appliance cords with throw rugs.

d) Rearrange furniture to clear walkways.

23. A nurse at an acute care facility is teaching a client about fall risk prevention strategies

for use during their stay at the facility. Which of the following statements by the client

indicates an understanding of the teaching?

a) “I will wear a yellow wrist band, so everyone knows I am at risk of falling.”

b) “I should keep the overhead lights on at all times while I am here.”

c) “I should store my personal items all together on the shelf in my bathroom.”

d) “I will have to wear a restraint around my wrist when I am sitting up in a chair.”

24. A nurse is caring for a client who is taking disulfiram for alcohol-use disorder and reports

ingestion of alcohol. For which of the following adverse effects should the nurse

monitor?

Headache

Hypertension

Rationale

Disulfiram is a type of aversion therapy that helps maintain abstinence from alcohol. Drinking

alcohol while taking disulfiram can produce a life-threatening response that can include

palpitations, headache, and hypotension. Therapy must not begin until the client has abstained

from alcohol for at least 12 hr. The client should avoid all forms of alcohol including cough

syrups and after-shave lotions.