lOMoARcPSD|25973474
Rn ati capstone proctored comprehensive assessment
2019 b
Adult Health II (Chamberlain University)
,
, NSG 4060 Comprehensive ATI Practice B
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which
of the following 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 a decreased 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, indicating the therapy has been effective.
A nurse working in a n 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.
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 immediate treatment to reduce the risk of
further injury o r possible death.
A nurse is caring for a c lient who has fluid volume overload. Which of the following
tasks should the 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 nurse should 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 nurse should administer?
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 hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the
leg away from the midline of the body.
A nurse is caring for a c lient who has hyperthyroidism. Which of the following
findings should the 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
following findings should the n urse 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 nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate
assessment of heart rate 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 nurse should 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 a thoracentesis to avoid puncturing the pleura.
A nurse in the ED is a ssessing a preschooler who has a facial laceration. The nurse
should identify 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 client to decrease in their d iet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce
diarrhea and inflammation.
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 nurse take?
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 sites should the nurse select when initiating the IV for the client?
Radial vein of the inner arm.
This site will have adequate subcutaneous t issue.
Rn ati capstone proctored comprehensive assessment
2019 b
Adult Health II (Chamberlain University)
,
, NSG 4060 Comprehensive ATI Practice B
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which
of the following 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 a decreased 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, indicating the therapy has been effective.
A nurse working in a n 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.
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 immediate treatment to reduce the risk of
further injury o r possible death.
A nurse is caring for a c lient who has fluid volume overload. Which of the following
tasks should the 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 nurse should 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 nurse should administer?
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 hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the
leg away from the midline of the body.
A nurse is caring for a c lient who has hyperthyroidism. Which of the following
findings should the 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
following findings should the n urse 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 nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate
assessment of heart rate 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 nurse should 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 a thoracentesis to avoid puncturing the pleura.
A nurse in the ED is a ssessing a preschooler who has a facial laceration. The nurse
should identify 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 client to decrease in their d iet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce
diarrhea and inflammation.
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 nurse take?
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 sites should the nurse select when initiating the IV for the client?
Radial vein of the inner arm.
This site will have adequate subcutaneous t issue.
