ATI RN Capstone COMP FORM B/150
QUESTIONS AND ANSWERS /
LASTEST UPDATED 2023
A nurse is caring for a client who had abdominal surgery 24 hr
ago. Which of the following actions is the nurse's priority? - -
Assist with deep breathing and coughing
-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? - -"I
told my doctor that I would like to start a support group for other
women who are sick in my community"
-A nurse is caring for a client who has immunosuppression and a
continuous IV infusion. Which of the following actions should the
nurse take? - -Monitor the client's mouth every 8 hr
-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 manifestations of HD? - -C
The nurse should assess the infant's abdomen for distention and
visible peristalsis, which are manifestations of HD
-A nurse at a mental health clinic is caring for four clients. The
nurse should recognize the following clients is using dissociation
as a defense mechanism? - -A client who was abused as a child
describes the abuse as if it happened to someone else
-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? - -irritability
-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 client who channels their energy into a new hobby following
the loss of their job
, -A hospice nurse is consulting with a client and her family about
receiving home services. Which of the following statements
should the nurse identify as an indication that the family
understands home hospice care? - -"We can expect the hospice
nurse to provide support for us after our mother's death"
-A nurse is caring for a client who has active tuberculosis. Which
of the following actions should the nurse take? - -Assign the
client to a private room with negative air pressure
-A nurse is providing teaching to a client who is at 24 weeks of
gestation and is schedule for a 3 hour oral glucose tolerance test.
Which of the following instructions should the nurse include in
the teaching? - -"You will need to fast the night before the test"
-A nurse on a pediatric unit has received change of shift report
for four children. Which of the following children should the
nurse assess first? - -A 10 year old child who is awaiting surgery
for an appendectomy and experienced sudden relief from pain
-A nurse in a community center is providing an education
session to a group of clients about ovarian cancer. Which of the
following manifestations of ovarian cancer should the nurse
include in the teaching? - -Abdominal bloating
-A nurse is caring for a client who is postoperative after
receiving moderate (conscious) sedation. The client suddenly
becomes restless and reports feeling lightheaded. Which of the
following actions should the nurse take? - -Check the client's
oxygen saturation level
-A nurse is working in an emergency department is triaging four
clients. Which of the following clients should the nurse
recommend for treatment first? - -A middle adult client who has
unstable vital signs
-A nurse is providing teaching for a client who has a fracture of
the right fibula with a short leg cast in place and a new
prescription for crutches. The client is non-weight bearing for 6
weeks. Which of the following instructions should the nurse
include in the teaching? - -Use a three-point gait
, -A nurse is preparing to initiate IV access for an older adult
client. Which of the following sites should the nurse select when
initiating the IV for this client? - -Radial vein of the inner arm
-A nurse is planning to delegate client care tasks to an AP.
Which of the following tasks should the nurse plan to delegate to
the AP? - -Perform gastrostomy feedings through a client's
established gastrostomy tube
-A nurse is caring for a newborn immediately after delivery.
Which of the following interventions should the nurse implement
to prevent heat loss by conduction? - -Use a protective cover on
the scale when weighing the infant
-A nurse is caring for a client who is receiving a continuous
heparin infusion. Which of the following laboratory tests should
the nurse review prior to adjusting the client's heparin? - -aPTT
-A nurse administers an incorrect dose of medication to a client.
The nurse recognized the error immediately and completes and
incident report. Which of the following facts related to the
incident should the nurse document in the client's medical
record? - -Time the medication was given
-A nurse is providing education to the parent of a school age
child who has asthma. Which of the following statements by the
parent indicates an understanding of the teaching? - -"I will
make sure my child receives a yearly influenza immunization"
-A nurse is caring for a client who has type 1 diabetes mellitus
and reports severe ankle pain after falling off a step stool at
home. Which of the following prescriptions should the nurse
clarify with the provider? - -Apply a cold pack to the client's
ankle for 30 min every hour
-A nurse is assessing a client who has a major depressive
disorder and is taking amitriptyline. Which of the following
findings should the nurse identify as an adverse effect of the
medication? - -Blurred vision
QUESTIONS AND ANSWERS /
LASTEST UPDATED 2023
A nurse is caring for a client who had abdominal surgery 24 hr
ago. Which of the following actions is the nurse's priority? - -
Assist with deep breathing and coughing
-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? - -"I
told my doctor that I would like to start a support group for other
women who are sick in my community"
-A nurse is caring for a client who has immunosuppression and a
continuous IV infusion. Which of the following actions should the
nurse take? - -Monitor the client's mouth every 8 hr
-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 manifestations of HD? - -C
The nurse should assess the infant's abdomen for distention and
visible peristalsis, which are manifestations of HD
-A nurse at a mental health clinic is caring for four clients. The
nurse should recognize the following clients is using dissociation
as a defense mechanism? - -A client who was abused as a child
describes the abuse as if it happened to someone else
-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? - -irritability
-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 client who channels their energy into a new hobby following
the loss of their job
, -A hospice nurse is consulting with a client and her family about
receiving home services. Which of the following statements
should the nurse identify as an indication that the family
understands home hospice care? - -"We can expect the hospice
nurse to provide support for us after our mother's death"
-A nurse is caring for a client who has active tuberculosis. Which
of the following actions should the nurse take? - -Assign the
client to a private room with negative air pressure
-A nurse is providing teaching to a client who is at 24 weeks of
gestation and is schedule for a 3 hour oral glucose tolerance test.
Which of the following instructions should the nurse include in
the teaching? - -"You will need to fast the night before the test"
-A nurse on a pediatric unit has received change of shift report
for four children. Which of the following children should the
nurse assess first? - -A 10 year old child who is awaiting surgery
for an appendectomy and experienced sudden relief from pain
-A nurse in a community center is providing an education
session to a group of clients about ovarian cancer. Which of the
following manifestations of ovarian cancer should the nurse
include in the teaching? - -Abdominal bloating
-A nurse is caring for a client who is postoperative after
receiving moderate (conscious) sedation. The client suddenly
becomes restless and reports feeling lightheaded. Which of the
following actions should the nurse take? - -Check the client's
oxygen saturation level
-A nurse is working in an emergency department is triaging four
clients. Which of the following clients should the nurse
recommend for treatment first? - -A middle adult client who has
unstable vital signs
-A nurse is providing teaching for a client who has a fracture of
the right fibula with a short leg cast in place and a new
prescription for crutches. The client is non-weight bearing for 6
weeks. Which of the following instructions should the nurse
include in the teaching? - -Use a three-point gait
, -A nurse is preparing to initiate IV access for an older adult
client. Which of the following sites should the nurse select when
initiating the IV for this client? - -Radial vein of the inner arm
-A nurse is planning to delegate client care tasks to an AP.
Which of the following tasks should the nurse plan to delegate to
the AP? - -Perform gastrostomy feedings through a client's
established gastrostomy tube
-A nurse is caring for a newborn immediately after delivery.
Which of the following interventions should the nurse implement
to prevent heat loss by conduction? - -Use a protective cover on
the scale when weighing the infant
-A nurse is caring for a client who is receiving a continuous
heparin infusion. Which of the following laboratory tests should
the nurse review prior to adjusting the client's heparin? - -aPTT
-A nurse administers an incorrect dose of medication to a client.
The nurse recognized the error immediately and completes and
incident report. Which of the following facts related to the
incident should the nurse document in the client's medical
record? - -Time the medication was given
-A nurse is providing education to the parent of a school age
child who has asthma. Which of the following statements by the
parent indicates an understanding of the teaching? - -"I will
make sure my child receives a yearly influenza immunization"
-A nurse is caring for a client who has type 1 diabetes mellitus
and reports severe ankle pain after falling off a step stool at
home. Which of the following prescriptions should the nurse
clarify with the provider? - -Apply a cold pack to the client's
ankle for 30 min every hour
-A nurse is assessing a client who has a major depressive
disorder and is taking amitriptyline. Which of the following
findings should the nurse identify as an adverse effect of the
medication? - -Blurred vision
