ATI RN Capstone Proctored Comprehensive Assessment B: Test Questions & Answers | Latest Update

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ATI RN CAPSTONE PROCTORED COMP1 1 1 1




REHENSIVE ASSESSMENT B TEST QUE 1 1 1 1




STIONS AND ANSWERS ANSWERS LAT 1 1 1 1




EST UPDATE 1 1 1 1




A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the
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following actions is the priority?
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1



A. Assess1fluid1intake1every1241hours1

B. Ambulate1three1times1a1day1

C. Assist1with1deep1breathing1and1coughing1D.1Monitor1the1incision1site1for1findings1o

f infection C
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The priority action the nurse should take when using the airway, breathing, circulati
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on approach to client care is to assist the client with deep breathing and coughing,
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which reduces the risk for postoperative pneumonia.
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A nurse is talking with a client who has stage IV breast cancer. The nurse should rec
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ognize which of the following statements by the client as a constructive use of a de
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fense mechanism? 1 1


1



A. I1have1experienced1physical1discomfort1when1intimate1with1my1partner1since1my1

diagnosis 1




B. I1wish1other1women1would1stop1socializing1with1my1partner1
1

C. I1told1my1doctor1that1I1would1like1to1start1a1support1group1for1other1women1who1ar

e sick in my community
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D. I1used1to1mistrust1my1doctor,1but1now1I1know1that1she1is1the1best1one1to1care1

, for me during my illness C
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This statement indicates that the client is using the constructive defense
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mechanism sublimation by devising a socially acceptable alternative to facing a
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reality that she does not wish to accept.
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A nurse is caring for a client who has immunosuppression and a continuous IV
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infusion. Which of the following actions should the nurse take?
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1




1
A. Assess1the1clients1IV1site1every181hours1
1
B. Check1the1clients1WBC1count1every1481hours1
1 1
C. Monitor1the1clients1mouth1every181hours
1
D. Change1the1clients1IV1tubing1

every 48 hours C 1 1 1 1




A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
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Which of the following areas should the nurse assess for manifestations of HD?
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1




1
A. Eyes1area1
1
B. Chest1area1
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C. Lower1abdominal1area




1
1
1




1



C 1


1

, Hirschsprung disease is a condition that affects the large intestine (colon) and cause
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s problems with passing stool. This is present at birth (congenital) as a result of miss
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ing nerve cells in the muscle of the baby's colon
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A nurse at a mental health clinic is caring for four clients. The nurse should recogniz
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e that which of the following clients is using dissociation as a defense mechanism?
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1



A. A1client1forgets1to1buy1their1partner1a1birthday1gift1after1a1disagreement1

B. A1client1who1was1abused1as1a1child1describes1the1abuse1as1if1it1happened1to1som

eone else. 1 1




C. A1client1who1is1shorter1than1average1is1verbally1assertive1with1coworkers1D.1A1cli

ent states that they did not get a job promotion because the boss did not like th
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em B 1 1




A nurse working in an emergency department is triaging four clients. Which of the f
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ollowing clients should the nurse recommend for treatment first?
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1



A. An1older1adult1client1who1reports1constipation1of141days1

B. A1preschooler1who1has1a1skin1rash1

C. An1adolescent1who1has1a1closed1fracture1

D. A1nurse1working1in1an1emergency1department1is1triaging1four1clients.1Which1of1th

e following clients should the nurse recommend for treatment first?
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D 1


A nurse is providing teaching for a client who has a fracture of the right fib
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ula with a short leg cast in place and a new prescription for crutches. The client i
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s non-weight-
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bearing for 6 weeks. Which of the following instructions should the nurse includ
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e in the teaching?
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, 1




1
A. Adjust1the1crutches1for1comfort1as1needed1
1
B. Use1a1three-point1gait .1
1
C. Wear1leather1soled1shoes1
1
D. Advance1the1affected1leg1first1when1

walking upstairs B
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A nurse is preparing to initiate IV access for an older adult client. Which of the
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following sites should the nurse select when initiating the IV for this client?
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A. Radial vein of the inner arm
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B. Great saphenous vein of the leg
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