ATI Proctored Capstone Comprehensive Assessment Test B: Questions & Answers: Latest Updated A+ Score Guide Solution

ATI Proctored Capstone Comprehensive

Assessment Test B

A nurse is caring for a client who had abdominal surgery 24 hours ago.

Which of the following actions is the priority?

A. Assess fluid intake every 24 hours

B. Ambulate three times a day

C. Assist with deep breathing and coughing

D. Monitor the incision site for findings of infection

(Ans - C

The priority action the nurse should take when using the airway, breathing,

circulation approach to client care is to assist the client with deep breathing

and coughing, which reduces the risk for postoperative pneumonia.

A nurse is talking with a client who has stage IV breast cancer. The nurse

should recognize which of the following statements by the client as a

constructive use of a defense mechanism?

A. I have experienced physical discomfort when intimate with my partner

since my diagnosis

B. I wish other women would stop socializing with my partner

C. I told my doctor that I would like to start a support group for other women

who are sick in my community

D. I used to mistrust my doctor, but now I know that she is the best one to

care for me during my illness

(Ans - C

This statement indicates that the client is using the constructive defense

mechanism sublimation by devising a socially acceptable alternative to

facing a reality that she does not wish to accept.

Comprehensive Assessment Test B

A nurse is caring for a client who has immunosuppression and a

continuous IV infusion. Which of the following actions should the nurse

take?

A. Assess the clients IV site every 8 hours

B. Check the clients WBC count every 48 hours

C. Monitor the clients mouth every 8 hours

D. Change the clients IV tubing every 48 hours

(Ans - C

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?

A. Eyes area

B. Chest area

C. Lower abdominal area

(Ans - C

Hirschsprung disease is a condition that affects the large intestine (colon)

and causes problems with passing stool. This is present at birth

(congenital) as a result of missing nerve cells in the muscle of the baby's

colon

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

recognize that which of the following clients is using dissociation as a

defense mechanism?

A. A client forgets to buy their partner a birthday gift after a disagreement

B. A client who was abused as a child describes the abuse as if it

happened to someone else.

C. A client who is shorter than average is verbally assertive with coworkers

D. A client states that they did not get a job promotion because the boss

did not like them

Ans - B

Comprehensive Assessment Test B

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?

A. irritability

B. increased urination

C. vomiting

D. facial flushing

(Ans - A

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. A client who transfers their anger about their job onto their family and

then apologizes

B. A client who misses provider appointments because they say they are

too busy

C. A client who channels their energy into a new hobby following the loss of

their job

D. A client whose partner died 4 years ago sets a place for him at dinner

each night

(Ans - C

The nurse should identify that this client is using the defense mechanism of

sublimation by channeling negative feelings over the loss of their job into a

new hobby.

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?

A. "We can expect the hospice nurse to provide support for us after our

mother's death."

Comprehensive Assessment Test B

B. A hospice nurse will come to the house each time our mother needs

pain medication

C. Now that my mother is receiving hospice services, we will not be able to

get respite care

D. Hospice care focuses on arranging treatment that will prolong our

mother's life

(Ans - A

Hospice care includes bereavement services after a family member's

death.

A nurse is caring for a client who has active pulmonary tuberculosis. Which

of the following actions should the nurse take?

A. Wear a surgical mask when providing client care

B. Have visitors maintain a distance of 1.8m (6 feet) from the client

C. Restrict fresh flowers from the clients room

D. Assign the client to a private room with negative air pressure

(Ans - D

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

and is scheduled for a 3-hr oral glucose tolerance test. Which of the

following instructions should the nurse include in the teaching?

A. Limit your fat intake for 72 hours before the test

B. You will need to fast the night before the test

C. We will collect a urine sample the day after testing

D. A blood sample will be collected every 15 minutes during the test

(Ans - B

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. A 6month old infant who has croup and an O2 saturation of 92% on

room air

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