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