ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019 B (ANSWERED)-150 QUESTIONS

ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT

2019 B (ANSWERED)-150 QUESTIONS

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

following actions is the nurse's priority?

{{ANS}}Assist with deep breathing and coughing

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?

{{ANS}}"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?

{{ANS}}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?

{{ANS}}

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?

{{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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