RN ATI capstone proctored comprehensive assessment 2019
B with all solution sorted 2023
ATI COMPREHENSIVE .
1 .A nurse is assessing a client who received 2 units of packed RBCs 48 hours
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 are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin 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.
2 .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 versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
immediate treatment to reduce the risk of further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to 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.
4. A nurse is preparing to 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 the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which 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.
6. A nurse is caring for a client 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.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. 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.
9. A nurse is preparing to 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.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following 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.
11. A nurse is preparing to teach about dietary management to a client who has
Crohn’s disease and an entero enteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
inflammation.
12. A nurse is caring for a client 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.
B with all solution sorted 2023
ATI COMPREHENSIVE .
1 .A nurse is assessing a client who received 2 units of packed RBCs 48 hours
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 are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin 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.
2 .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 versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
immediate treatment to reduce the risk of further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to 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.
4. A nurse is preparing to 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 the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which 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.
6. A nurse is caring for a client 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.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. 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.
9. A nurse is preparing to 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.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following 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.
11. A nurse is preparing to teach about dietary management to a client who has
Crohn’s disease and an entero enteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
inflammation.
12. A nurse is caring for a client 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.
