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RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT A NEWEST 2024 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse administers an incorrect dose of medication to a client. The
nurse recognizes the error immediately and completes an incident report.
Which of the following facts related to the incident should the nurse
document in the client's medical record?
a. Completion of the incident report
b. Time the medication was given
c. Reason for the medication error
d. Notification of the pharmacist - ANSWER- b. Time the medication
was given
Rationale; The nurse should document the time, the name of the
medication, the dose, and the route in which the medication was
given on the client's medication administration record immediately
after it was administered. The nurse should also document the time
that the incorrect medication was administered to the client in the
incident report, as this is a fact directly related to the occurrence.
a. The nurse should complete an incident report for legal protection
of the facility but should not document anything concerning the
completion of the report in the client's medical record.
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c. The nurse should document the reason for the medication error in
the incident report, rather than in the client's medical record.
d. It is not necessary to notify the pharmacist when a medication
error has occurred. Therefore, the nurse should not document this
in the medical record or in the incident report.
A nurse is providing information to a client immediately before his
scheduled Romberg test. Which of the following statements should the
nurse make?
a. "You will be standing with your feet 1 foot apart."
b. "You will place and hold your hands on your hips."
c. "I will be standing across the room from you to evaluate your sense of
balance."
d. "I will be checking you once with your eyes open and once with them
closed." - ANSWER- d. "I will be checking you once with your eyes
open and once with them closed."
Rationale; The nurse should inform the client that the Romberg test
will be performed once with eyes open and once with eyes closed. A
Romberg test is performed to assess balance and motor function.
a. The nurse should inform the client that during the Romberg test,
he will be standing with his feet together.
b. The nurse should inform the client that during the Romberg test
he will place his arms at his sides in a resting position.
c. Standing across the room from the client during a Romberg test is
a risk to the client's safety. Therefore, the nurse should stand close
to the client to prevent the client from falling.
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A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?
a. Instruct the client to void.
b. Position the client on their left side.
c. Insert an IV catheter.
d. Prepare the client for moderate (conscious) sedation. - ANSWER- a.
Instruct the client to void.
Rationale; The nurse should instruct the client to void prior to the
procedure, because an empty bladder decreases the risk of a bladder
puncture and minimizes the client's discomfort during the
procedure.
b. The nurse should position the client upright or in high Fowler's
position.
c. An IV catheter is not necessary for a paracentesis.
d. The nurse should instruct the client that the provider will
administer a local anesthetic before beginning the procedure.
Moderate sedation is not required for a paracentesis.
A nurse is assessing a client who is at 11 weeks of gestation and reports
drinking ginger tea. Which of the following findings indicates the
client's use of ginger tea is effective?
a. The client reports a decrease in episodes of nausea.
b. The client reports a decrease in breast tenderness.
c. The client reports a decrease in headaches.
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d. The client reports a decrease in urinary frequency. - ANSWER- a. The
client reports a decrease in episodes of nausea.
Rationale; The nurse should realize that a decrease in the client's
nausea indicates the ginger tea is effective. The client can also safely
use ginger ale and ginger snaps to alleviate nausea associated with
pregnancy.
b. Ginger tea has no effect on breast tenderness during pregnancy.
The client can wear a supportive bra to decrease breast tenderness.
c. Ginger tea has no effect on the incidence of headache during
pregnancy. The client can take acetaminophen to relieve mild
headache pain.
d. Ginger tea will not decrease urinary frequency during pregnancy.
The client can practice Kegel exercises to strengthen pelvic floor
muscles to decrease urinary frequency.
A nurse preceptor is evaluating the performance of a newly licensed
nurse. Which of the following actions by the newly licensed nurse
requires intervention by the preceptor?
a. Documents client tasks upon completion
b. Starts a task then determines what supplies are needed
c. Completes a client assessment while infusing an IV antibiotic over 30
min
d. Returns to the nurses' station after completing several tasks in the
same location - ANSWER- b. Starts a task then determines what
supplies are needed
RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT A NEWEST 2024 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse administers an incorrect dose of medication to a client. The
nurse recognizes the error immediately and completes an incident report.
Which of the following facts related to the incident should the nurse
document in the client's medical record?
a. Completion of the incident report
b. Time the medication was given
c. Reason for the medication error
d. Notification of the pharmacist - ANSWER- b. Time the medication
was given
Rationale; The nurse should document the time, the name of the
medication, the dose, and the route in which the medication was
given on the client's medication administration record immediately
after it was administered. The nurse should also document the time
that the incorrect medication was administered to the client in the
incident report, as this is a fact directly related to the occurrence.
a. The nurse should complete an incident report for legal protection
of the facility but should not document anything concerning the
completion of the report in the client's medical record.
,2|Page
c. The nurse should document the reason for the medication error in
the incident report, rather than in the client's medical record.
d. It is not necessary to notify the pharmacist when a medication
error has occurred. Therefore, the nurse should not document this
in the medical record or in the incident report.
A nurse is providing information to a client immediately before his
scheduled Romberg test. Which of the following statements should the
nurse make?
a. "You will be standing with your feet 1 foot apart."
b. "You will place and hold your hands on your hips."
c. "I will be standing across the room from you to evaluate your sense of
balance."
d. "I will be checking you once with your eyes open and once with them
closed." - ANSWER- d. "I will be checking you once with your eyes
open and once with them closed."
Rationale; The nurse should inform the client that the Romberg test
will be performed once with eyes open and once with eyes closed. A
Romberg test is performed to assess balance and motor function.
a. The nurse should inform the client that during the Romberg test,
he will be standing with his feet together.
b. The nurse should inform the client that during the Romberg test
he will place his arms at his sides in a resting position.
c. Standing across the room from the client during a Romberg test is
a risk to the client's safety. Therefore, the nurse should stand close
to the client to prevent the client from falling.
,3|Page
A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?
a. Instruct the client to void.
b. Position the client on their left side.
c. Insert an IV catheter.
d. Prepare the client for moderate (conscious) sedation. - ANSWER- a.
Instruct the client to void.
Rationale; The nurse should instruct the client to void prior to the
procedure, because an empty bladder decreases the risk of a bladder
puncture and minimizes the client's discomfort during the
procedure.
b. The nurse should position the client upright or in high Fowler's
position.
c. An IV catheter is not necessary for a paracentesis.
d. The nurse should instruct the client that the provider will
administer a local anesthetic before beginning the procedure.
Moderate sedation is not required for a paracentesis.
A nurse is assessing a client who is at 11 weeks of gestation and reports
drinking ginger tea. Which of the following findings indicates the
client's use of ginger tea is effective?
a. The client reports a decrease in episodes of nausea.
b. The client reports a decrease in breast tenderness.
c. The client reports a decrease in headaches.
, 4|Page
d. The client reports a decrease in urinary frequency. - ANSWER- a. The
client reports a decrease in episodes of nausea.
Rationale; The nurse should realize that a decrease in the client's
nausea indicates the ginger tea is effective. The client can also safely
use ginger ale and ginger snaps to alleviate nausea associated with
pregnancy.
b. Ginger tea has no effect on breast tenderness during pregnancy.
The client can wear a supportive bra to decrease breast tenderness.
c. Ginger tea has no effect on the incidence of headache during
pregnancy. The client can take acetaminophen to relieve mild
headache pain.
d. Ginger tea will not decrease urinary frequency during pregnancy.
The client can practice Kegel exercises to strengthen pelvic floor
muscles to decrease urinary frequency.
A nurse preceptor is evaluating the performance of a newly licensed
nurse. Which of the following actions by the newly licensed nurse
requires intervention by the preceptor?
a. Documents client tasks upon completion
b. Starts a task then determines what supplies are needed
c. Completes a client assessment while infusing an IV antibiotic over 30
min
d. Returns to the nurses' station after completing several tasks in the
same location - ANSWER- b. Starts a task then determines what
supplies are needed
