ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers
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RN ATI Capstone Proctored Comprehensive Assessment Test B
Actual Test Ques & Ans
1. 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✔✔✔ C
The priority action the nurse should take when using the airway,
breathing, circula- tion approach to client care is to assist the client
with deep breathing and coughing, which reduces the risk for
postoperative pneumonia.
2. 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
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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✔✔✔ C
This statement indicates that the client is using the constructive
defense mecha- nism sublimation by devising a socially acceptable
alternative to facing a reality that she does not wish to accept.
3. A nurse is caring for a client who has immunosuppression and a
continu- ous 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✔✔✔ C
4. 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
manifesta- tions of HD?
A. Eyes area
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B. Chest area
C. Lower abdominal area✔✔✔ 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
5. 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✔✔✔ B
6. 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✔✔✔ A
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7. 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✔✔✔ C
The nurse should identify that this client is using the defense
mechanism of
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