RN ATI Capstone Proctored Comprehensive
Assessment 2024 update with verified answers
1.
A nurse is caring for a client who had abdominal surgery 24 hours ago. Whic of the
following actions is the nurse’s priority?
a. Assess fluid intake every 24 hours
b. Ambulate three times a day
c. Assist with deep breathing and coughing
(this is the nurses priority because ABCs which reduces the risk for postoperative
pneumonia)
d. Monitor the incision site for findings of infection
A nurse is conducting group therapy with clients who have breast cancer. The nurse
should recognize which of the following statements by a client is an example of
altruism?
a. “I have experienced physical discomfort when intimate with my
partner since my diagnosis”
Conversion. Conversion is the development of physical manifestations in response to
anxiety.
b. “I wish other women would stop socializing with my partner”
Projection. Projection is blaming others for unacceptable thoughts and feelings.
c. “I told my doctor that I would like to start a support group for other women who
are sick in my community”
(this is the correct response because altruism is reaching out and helping others)
d. “I used to mistrust my doctor, but now I know that she is the best one to
care for me during my illness”
Splitting. Splitting is the inability to integrate negative and positive attributes of the
self or others.
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?
a. Assess the client’s IV site every 8
hours Important to monitor this every 4
hr
b. Check the client’s WBC count every 48
hours Important to monitor this every 24 hr
c. Monitor the client’s mouth every 8 hours
Monitor the client’s mouth at least every 8 hr for manifestations of an infection, such
as sores or lesions
d. Change the client’s IV tubing every 48 hours
Change the IV tubing every 24 hr for client who has immunosuppression
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?
a. Adjust the crutches for support as needed
A HCP should measure crutches for the client. Clients should not perform their own
adjustments to the crutches. Use of improperly fitting crutches increases the risk of
injury from falls.
b. Use a three-point gait
,RN ATI Capstone Proctored Comprehensive
Assessment 2024 update with verified answers
1.
A three-point crutch gait allows the client to be mobile without bearing weight on the
affected extremity
c. Wear leather soled shoes
, RN ATI Capstone Proctored Comprehensive
Assessment 2024 update with verified answers
2.
The client should wear rubber-soled shoes when using crutches. The client who
wears leather- soled shoes has an increased risk of slipping and falling.
d. Advance the affected leg first when walking upstairs
When walking upstairs, the client should advance the unaffected leg first. When
walking downstairs, the client should advance the crutches and the affected leg
first and then follow with the unaffected leg.
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?
a. Radial vein of the inner arm
This site will have adequate subcutaneous tissue
b. Great saphenous vein of the leg
This can interfere with the performance of ADLs
c. Dorsal plexus vein of the foot
Veins and vessels in extremities are fragile in older adult clients
d. Basilic vein of the hand
Older adults can have skin that tears easily and can also experience a decreasein
subcutaneous tissue in locations such as hands
A nurse is planning to delegate client care tasks to an assistive personnel (AP).
Which of the following tasks should the nurse plan to delegate to the AP?
a. Perform gastrostomy feedings through a client’s established gastrostomy
tube The nurse should delegate providing gastrostomy feedings through the
client’s established gastrostomy tube to an AP because this task is within the
AP’s range of function
b. Determine if the PRN pain medication administered 30 min ago has helped
RN
c. Provide instructions about client care to a family member over the telephone
RN
d. Teach a client how to measure their own blood pressure
RN
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?
a. I will administer aspirin to my child to treat pain or fever
b. I will record an average of three readings from my child’s peak
expiratory flow meter Parent should record highest of three readings rather
than average
c. I will place carpet in my child’s bedroom to control allergens
d. I will make sure my child receives a yearly influenza immunization
Type 1 diabetes is a contraindiciation for receiving cold therapy. A client who has
type 1 diabetes can have impaired circulation due to arteriosclerosis and a loss of
sensory perception due to neuropathy. Ice can further impair circulation.
A nurse is providing discharge teaching to a client who is to receive home oxygen
therapy.
Assessment 2024 update with verified answers
1.
A nurse is caring for a client who had abdominal surgery 24 hours ago. Whic of the
following actions is the nurse’s priority?
a. Assess fluid intake every 24 hours
b. Ambulate three times a day
c. Assist with deep breathing and coughing
(this is the nurses priority because ABCs which reduces the risk for postoperative
pneumonia)
d. Monitor the incision site for findings of infection
A nurse is conducting group therapy with clients who have breast cancer. The nurse
should recognize which of the following statements by a client is an example of
altruism?
a. “I have experienced physical discomfort when intimate with my
partner since my diagnosis”
Conversion. Conversion is the development of physical manifestations in response to
anxiety.
b. “I wish other women would stop socializing with my partner”
Projection. Projection is blaming others for unacceptable thoughts and feelings.
c. “I told my doctor that I would like to start a support group for other women who
are sick in my community”
(this is the correct response because altruism is reaching out and helping others)
d. “I used to mistrust my doctor, but now I know that she is the best one to
care for me during my illness”
Splitting. Splitting is the inability to integrate negative and positive attributes of the
self or others.
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?
a. Assess the client’s IV site every 8
hours Important to monitor this every 4
hr
b. Check the client’s WBC count every 48
hours Important to monitor this every 24 hr
c. Monitor the client’s mouth every 8 hours
Monitor the client’s mouth at least every 8 hr for manifestations of an infection, such
as sores or lesions
d. Change the client’s IV tubing every 48 hours
Change the IV tubing every 24 hr for client who has immunosuppression
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?
a. Adjust the crutches for support as needed
A HCP should measure crutches for the client. Clients should not perform their own
adjustments to the crutches. Use of improperly fitting crutches increases the risk of
injury from falls.
b. Use a three-point gait
,RN ATI Capstone Proctored Comprehensive
Assessment 2024 update with verified answers
1.
A three-point crutch gait allows the client to be mobile without bearing weight on the
affected extremity
c. Wear leather soled shoes
, RN ATI Capstone Proctored Comprehensive
Assessment 2024 update with verified answers
2.
The client should wear rubber-soled shoes when using crutches. The client who
wears leather- soled shoes has an increased risk of slipping and falling.
d. Advance the affected leg first when walking upstairs
When walking upstairs, the client should advance the unaffected leg first. When
walking downstairs, the client should advance the crutches and the affected leg
first and then follow with the unaffected leg.
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?
a. Radial vein of the inner arm
This site will have adequate subcutaneous tissue
b. Great saphenous vein of the leg
This can interfere with the performance of ADLs
c. Dorsal plexus vein of the foot
Veins and vessels in extremities are fragile in older adult clients
d. Basilic vein of the hand
Older adults can have skin that tears easily and can also experience a decreasein
subcutaneous tissue in locations such as hands
A nurse is planning to delegate client care tasks to an assistive personnel (AP).
Which of the following tasks should the nurse plan to delegate to the AP?
a. Perform gastrostomy feedings through a client’s established gastrostomy
tube The nurse should delegate providing gastrostomy feedings through the
client’s established gastrostomy tube to an AP because this task is within the
AP’s range of function
b. Determine if the PRN pain medication administered 30 min ago has helped
RN
c. Provide instructions about client care to a family member over the telephone
RN
d. Teach a client how to measure their own blood pressure
RN
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?
a. I will administer aspirin to my child to treat pain or fever
b. I will record an average of three readings from my child’s peak
expiratory flow meter Parent should record highest of three readings rather
than average
c. I will place carpet in my child’s bedroom to control allergens
d. I will make sure my child receives a yearly influenza immunization
Type 1 diabetes is a contraindiciation for receiving cold therapy. A client who has
type 1 diabetes can have impaired circulation due to arteriosclerosis and a loss of
sensory perception due to neuropathy. Ice can further impair circulation.
A nurse is providing discharge teaching to a client who is to receive home oxygen
therapy.
