RN ATI capstone proctored comprehensive assessment 2019 B | ATI Comprehensive Practice Test B

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RN ATI capstone proctored comprehensive assessment 2019 B /

ATI Comprehensive Practice B

NSG 4060 Comprehensive ATI Practice B

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of

thefollowing findings should indicate to the nurse that the therapy has been effective?

Hemoglobin 14.9 g/dL

The nurse should identify that packed RBCs a re administered to clients who

have adecreased level of hemoglobin or hematocrit. This h emoglobin level is

within the expected reference range of 14 to 18 g/dL for males and 12 to 16

g/dL for females,

A nurse working in a n emergency department is triaging four clients. Which of the

followingclients should the nurse recommend for treatment first?

A middle adult client who has unstable vital signs.

Using the stable vs unstable approach t o client care, the nurse should

recommend priority treatment for the client who has u nstable vital signs

because this client requires

A nurse is caring for a c lient who has fluid volume overload. Which of the following

tasks shouldthe nurse delegate t o the CNA?

Measure the client’s daily weight

It is within the CNAs range of function to measure a client’s daily weight, so

the nurseshould delegate this task to them.

A nurse is preparing t o administer mannitol 0.2g/kg IV bolus over 5 min as a test

dose to a client who has severe oliguria. The client weighs 198lb. What is t he

amount in grams the nurseshould administer?

immediate treatment to reduce the risk of further injury o r possible death.

indicating the therapy has been effective.

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18 g

A nurse is conduction a physical examination for an adolescent and is assessing the

range of motion of the legs. W hich of the following images indicates the adolescent

is abducting the hipjoint?

In the correct image, the adolescent is abduction the hip joint by moving the

leg awayfrom the midline of the body.

A nurse is caring for a c lient who has hyperthyroidism. Which of the following

findings shouldthe nurse expect?

Tremors

Tremors are a manifestation of hyperthyroidism, along with tachycardia,

diaphoresis,weight loss, insomnia, and exophthalmia.

A nurse is assessing a school-aged child who has bacterial meningitis. Which of the

followingfindings should the nurse expect?

Nuchal rigidity

This is a manifestation of bacterial meningitis.

A nurse is assessing a newborn’s heart rate. Which of the following actions should

the nursetake?

Auscultate the apical pulse at least 1 min.

The nurse should auscultate the apical pulse to obtain an accurate assessment

of heartrate and rhythm. Auscultation of a newborn’s heart sounds can be

difficult because of the rapid rate and the transmission of respiratory sounds.

A nurse is preparing t o assist with a thoracentesis for a client who has pleurisy. The

nurseshould plan to perform which of the following actions?

Instruct the client to avoid coughing during the procedure.

It is important for the nurse to remind the client to avoid coughing and to lie

still during athoracentesis to avoid puncturing the pleura.

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inflammation.

A nurse in the ED is a ssessing a preschooler who has a facial laceration. The nurse

shouldidentify which of the f ollowing findings as a potential indication of child

sexual abuse?

The child exhibits discomfort while walking.

The nurse should identify this finding as a potential indication of child sexual

abuse.

A nurse is preparing t o teach about dietary management to a client who has Crohn’s

disease and an enteroenteric f istula. Which of the following nutrients should the

nurse instruct the clientto decrease in their d iet?

Fiber

The nurse should instruct the client to consume a low-fiber diet to reduce

diarrhea and

A nurse is caring for a c lient who has a prescription for a continuous passive

motion (CPM) machine following a total knee arthroplasty. Which of the following

actions should the nursetake?

Turn off the CPM machine during

mealtime. This promotes client comfort

and dietary intake.

A nurse is preparing t o initiate IV access for an older adult client. Which of the

following sitesshould the nurse select when initiating the IV for the client?

Radial vein of the inner arm.

This site will have adequate subcutaneous t issue.

A nurse is developing a client education program a bout osteoporosis for older adult

clients. Thenurse should include which of the following variables as a risk factor for

osteoporosis?

Sedentary lifestyle.

This is a risk factor for osteoporosis. The nurse should encourage older adult

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clients toengage in weight-bearing exercises because t hey will promote bone

health by

A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on the

trunk andextremities. Which of t he following interventions should the nurse identify

as the priority?

Initiate transmission-based precautions

When using the urgent vs nonurgent approach to client care, the nurse should

determinethat the priority action is to initiate transmission-based precautions

for the child. The child most likely has varicella. Therefore, the nurse should

isolate the child to prevent thespread of the infection.

A nurse is caring for a c lient who has a clogged percutaneous gastrostomy feeding

tube. Whichof the following actions should the nurse take first?

Change the position of the client.

When providing client care, the nurse should use the least restrictive

intervention first. Therefore, the nurse should reposition the client to remove

any kinks in the tube, which can lead to clogging. If this method is

unsuccessful, t he nurse should attempt to flush oraspirate the client’s tube to

remove the clog.

A home health care nurse is developing a teaching plan for a client who has a new

ileostomy.Which of the following i nstructions should the nurse include?

Empty the appliance when it is one-third t o one-half full.

The ileostomy pouch should be emptied when it is o ne-third to one-half full to

preventstool leakage and skin irritation.

A nurse is reviewing the laboratory report of a client who has end-stage kidney

disease and received hemodialysis 24 yr ago. Which of the following lab values should

the nurse report tothe provider?

increasing calcium and phosphorus levels.