ATI PN CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT NEWEST
CERTIFICATION REVIEW SET 2026
ANSWERS GUARANTEED PASS
⫸ Associated manifestation of Hypocalcemia Answer: Positive
Trousseau's sign
⫸ Associated manifestation of Hyperkalemia Answer: ECG with tall,
peaked t-waves
⫸ Associated manifestation of Hyponatremia Answer: Bounding pulse
⫸ Associated manifestation of Hypokalemia Answer: Hypoactive bowel
sounds
⫸ The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek Answer: d. Tap lightly on the client's
cheek
,Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign.
A positive sign = Facial twitching on the side of the face
⫸ The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching Answer: a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
⫸ Respiratory Diagnostic Procedures: Planning Care for a Client Who
Is Scheduled for a Thoracentesis Answer: Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate
the effusion and needle insertion site.
- Assist the older client to maintain still for the procedure
- Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs
well-supported.
- Remain stills, no coughing or talking
, Intraprocedure:
- Aseptic technique
- Monitor VS, skin color, and ox sat
- Amount of fluid removed is limited to 1L at a time to prevent re-
expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
⫸ Thoracentesis Answer: Thoracentesis is the surgical perforation of
the chest wall and pleural space with a large-bore needle. It is performed
to obtain specimens for diagnostic evaluation, instill medication into the
pleural space, and remove fluid or air from the pleural space for
therapeutic relief of pleural pressure.
⫸ A nurse is reviewing information with a client who is scheduled for
pulmonary function tests. Which of the following statements should the
nurse make?
a. "Do not use inhaler medications for 6 hr following the test."
b. "Do not smoke tobacco for 6-8 hr prior to the test."
COMPREHENSIVE ASSESSMENT NEWEST
CERTIFICATION REVIEW SET 2026
ANSWERS GUARANTEED PASS
⫸ Associated manifestation of Hypocalcemia Answer: Positive
Trousseau's sign
⫸ Associated manifestation of Hyperkalemia Answer: ECG with tall,
peaked t-waves
⫸ Associated manifestation of Hyponatremia Answer: Bounding pulse
⫸ Associated manifestation of Hypokalemia Answer: Hypoactive bowel
sounds
⫸ The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek Answer: d. Tap lightly on the client's
cheek
,Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign.
A positive sign = Facial twitching on the side of the face
⫸ The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching Answer: a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
⫸ Respiratory Diagnostic Procedures: Planning Care for a Client Who
Is Scheduled for a Thoracentesis Answer: Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate
the effusion and needle insertion site.
- Assist the older client to maintain still for the procedure
- Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs
well-supported.
- Remain stills, no coughing or talking
, Intraprocedure:
- Aseptic technique
- Monitor VS, skin color, and ox sat
- Amount of fluid removed is limited to 1L at a time to prevent re-
expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
⫸ Thoracentesis Answer: Thoracentesis is the surgical perforation of
the chest wall and pleural space with a large-bore needle. It is performed
to obtain specimens for diagnostic evaluation, instill medication into the
pleural space, and remove fluid or air from the pleural space for
therapeutic relief of pleural pressure.
⫸ A nurse is reviewing information with a client who is scheduled for
pulmonary function tests. Which of the following statements should the
nurse make?
a. "Do not use inhaler medications for 6 hr following the test."
b. "Do not smoke tobacco for 6-8 hr prior to the test."
