RN ATI CAPSTONE PROCTOR
n n n
ED COMPREHENSIVE ASSESS
n n
MENT 2019 B | ATI COMPREHE n n n n n
NSIVE PRACTICETEST B (BES n n n n
T STUDY GUIDE VERSION WIT
n n n n
H COMPLETE SOLUTION)
n n
RN ATI Capstone Proctored Comprehensive Assessment2
n n n n n n
019 B/ ATI Comprehensive 2019 B| RN ATI Capstone Proc
n n n n n n n n n
tored|A Graded|NEW!!!
n
, 1
1 .Annursenisnassessingnanclientnwhonreceivedn2nunitsnofnpackednRBCsn48nhoursnag
o.nWhichnofnthenfollowingnfindingsnshouldnindicatentonthennursenthatnthentherapynha
snbeenneffective?
Hemoglobinn14.9ng/dl
ThennursenshouldnidentifynthatnpackednRBCsnarenadministeredntonclientsnwhonhavenandecre
asednlevelnofnhemoglobinnornhematocrit.nThisnhemoglobinnlevelnisnwithinnthenexpectednrefe
rencenrangenofn14nton18ng/dlnfornmalesnandn12nton16ng/dlnfornfemales,nindicatingnthentherap
ynhasnbeenneffective.
2 .Annursenworkingninnannnemergencyndepartmentnisntriagingnfournclients.nWhichnofnt
henfollowingnclientsnshouldnthennursenrecommendnforntreatmentnfirst?
Anmiddlenadultnclientnwhonhasnunstablenvitalnsigns.
Usingnthenstablenversusnunstablenapproachntonclientncare,nthennursenshouldnrecommendn
priorityntreatmentnfornthenclientnwhonhasnunstablenvitalnsignsnbecausenthisnclientnrequiresni
mmediatentreatmentntonreducenthenrisknofnfurtherninjurynornpossiblendeath.
3. Annursenisncaringnfornanclientnwhonhasnfluidnvolumenoverload.nWhichnofnthenf
ollowingntasksnshouldnthennursendelegatentonthenCNA?
Measurenthenclient’sndailynweight
ItnisnwithinnthenCNAsnrangenofnfunctionntonmeasurenanclient’sndailynweight,nsonthennursenshou
ldndelegatenthisntaskntonthem.
4. Annursenisnpreparingntonadministernmannitoln0.2g/kgnIVnbolusnovern5nminnasnante
stndosentonanclientnwhonhasnseverenoliguria.nThenclientnweighsn198lb.nWhatnisnthena
mountninngramsnthennursenshouldnadminister?
18ng
5. Annursenisnconductingnanphysicalnexaminationnfornannadolescentnandnisn
assessingnthenrangenofnmotionnofnthenlegs.nWhichnofnthenfollowingnimagesni
ndicatesnthenadolescentnisnabductingnthenhipnjoint?
Innthencorrectnimage,nthenadolescentnisnabductionnthenhipnjointnbynmovingnthenlegnawaynf
romnthenmidlinenofnthenbody.
6. Annursenisncaringnfornanclientnwhonhasnhyperthyroidism.nWhichnofnthenfollowingnf
indingsnshouldnthennursenexpect?
Tremors
, 2
Tremorsnarenanmanifestationnofnhyperthyroidism,nalongnwithntachycardia,ndiaphoresis,nweig
htnloss,ninsomnia,nandnexophthalmia.
7. Annursenisnassessingnanschool-
agednchildnwhonhasnbacterialnmeningitis.nWhichnofnthenfollowingnfindingsnshouldnt
hennursenexpect?
Nuchalnrigidity
Thisnisnanmanifestationnofnbacterialnmeningitis.
8. Annursenisnassessingnan newborn’snheartnrate.nWhichnofnthenfollowingnactionsn
shouldnthennursentake?
Auscultatenthenapicalnpulsenatnleastn1nmin.
Thennursenshouldnauscultatenthenapicalnpulsentonobtainnannaccuratenassessmentnofnheartnra
tenandnrhythm.nAuscultationnofnannewborn’snheartnsoundsncannbendifficultnbecausenofnthenr
apidnratenandnthentransmissionnofnrespiratorynsounds.
9. Annursenisnpreparingntonassistnwithnanthoracentesisnfornanclientnwhonhasnpleurisy.n
Thennursenshouldnplanntonperformnwhichnofnthenfollowingnactions?
Instructnthenclientntonavoidncoughingnduringnthenprocedure.
Itnisnimportantnfornthennursentonremindnthenclientntonavoidncoughingnandntonlienstillnduringnanthoracente
sisntonavoidnpuncturingnthenpleura.
10. AnnurseninnthenEDnisnassessingnanpreschoolernwhonhasnanfacialnlaceration.nThen
nursenshouldnidentifynwhichnofnthenfollowingnfindingsnasnanpotentialnindicationnofn
childnsexualnabuse?
Thenchildnexhibitsndiscomfortnwhilenwalking.
Thennursenshouldnidentifynthisnfindingnasnanpotentialnindicationnofnchildnsexualnabuse.
11. Annursenisnpreparingntonteachnaboutndietarynmanagementntonanclientnwhonhasn
Crohn’sndiseasenandnannenteronentericnfistula.nWhichnofnthenfollowingnnutrientsn
shouldnthennurseninstructnthenclientntondecreaseninntheirndiet?
Fiber
Thennursenshouldninstructnthenclientntonconsumenanlow-
fiberndietntonreducendiarrheanandninflammation.
12. Annursenisncaringnfornanclientnwhonhasnanprescriptionnfornancontinuousnpassiven
motionn(CPM)nmachinenfollowingnantotalnkneenarthroplasty.nWhichnofnthenfollowin
gnactionsnshouldnthennursentake?
TurnnoffnthenCPMnmachinenduringnmealtime.nThi
snpromotesnclientncomfortnandndietarynintake.
n n n
ED COMPREHENSIVE ASSESS
n n
MENT 2019 B | ATI COMPREHE n n n n n
NSIVE PRACTICETEST B (BES n n n n
T STUDY GUIDE VERSION WIT
n n n n
H COMPLETE SOLUTION)
n n
RN ATI Capstone Proctored Comprehensive Assessment2
n n n n n n
019 B/ ATI Comprehensive 2019 B| RN ATI Capstone Proc
n n n n n n n n n
tored|A Graded|NEW!!!
n
, 1
1 .Annursenisnassessingnanclientnwhonreceivedn2nunitsnofnpackednRBCsn48nhoursnag
o.nWhichnofnthenfollowingnfindingsnshouldnindicatentonthennursenthatnthentherapynha
snbeenneffective?
Hemoglobinn14.9ng/dl
ThennursenshouldnidentifynthatnpackednRBCsnarenadministeredntonclientsnwhonhavenandecre
asednlevelnofnhemoglobinnornhematocrit.nThisnhemoglobinnlevelnisnwithinnthenexpectednrefe
rencenrangenofn14nton18ng/dlnfornmalesnandn12nton16ng/dlnfornfemales,nindicatingnthentherap
ynhasnbeenneffective.
2 .Annursenworkingninnannnemergencyndepartmentnisntriagingnfournclients.nWhichnofnt
henfollowingnclientsnshouldnthennursenrecommendnforntreatmentnfirst?
Anmiddlenadultnclientnwhonhasnunstablenvitalnsigns.
Usingnthenstablenversusnunstablenapproachntonclientncare,nthennursenshouldnrecommendn
priorityntreatmentnfornthenclientnwhonhasnunstablenvitalnsignsnbecausenthisnclientnrequiresni
mmediatentreatmentntonreducenthenrisknofnfurtherninjurynornpossiblendeath.
3. Annursenisncaringnfornanclientnwhonhasnfluidnvolumenoverload.nWhichnofnthenf
ollowingntasksnshouldnthennursendelegatentonthenCNA?
Measurenthenclient’sndailynweight
ItnisnwithinnthenCNAsnrangenofnfunctionntonmeasurenanclient’sndailynweight,nsonthennursenshou
ldndelegatenthisntaskntonthem.
4. Annursenisnpreparingntonadministernmannitoln0.2g/kgnIVnbolusnovern5nminnasnante
stndosentonanclientnwhonhasnseverenoliguria.nThenclientnweighsn198lb.nWhatnisnthena
mountninngramsnthennursenshouldnadminister?
18ng
5. Annursenisnconductingnanphysicalnexaminationnfornannadolescentnandnisn
assessingnthenrangenofnmotionnofnthenlegs.nWhichnofnthenfollowingnimagesni
ndicatesnthenadolescentnisnabductingnthenhipnjoint?
Innthencorrectnimage,nthenadolescentnisnabductionnthenhipnjointnbynmovingnthenlegnawaynf
romnthenmidlinenofnthenbody.
6. Annursenisncaringnfornanclientnwhonhasnhyperthyroidism.nWhichnofnthenfollowingnf
indingsnshouldnthennursenexpect?
Tremors
, 2
Tremorsnarenanmanifestationnofnhyperthyroidism,nalongnwithntachycardia,ndiaphoresis,nweig
htnloss,ninsomnia,nandnexophthalmia.
7. Annursenisnassessingnanschool-
agednchildnwhonhasnbacterialnmeningitis.nWhichnofnthenfollowingnfindingsnshouldnt
hennursenexpect?
Nuchalnrigidity
Thisnisnanmanifestationnofnbacterialnmeningitis.
8. Annursenisnassessingnan newborn’snheartnrate.nWhichnofnthenfollowingnactionsn
shouldnthennursentake?
Auscultatenthenapicalnpulsenatnleastn1nmin.
Thennursenshouldnauscultatenthenapicalnpulsentonobtainnannaccuratenassessmentnofnheartnra
tenandnrhythm.nAuscultationnofnannewborn’snheartnsoundsncannbendifficultnbecausenofnthenr
apidnratenandnthentransmissionnofnrespiratorynsounds.
9. Annursenisnpreparingntonassistnwithnanthoracentesisnfornanclientnwhonhasnpleurisy.n
Thennursenshouldnplanntonperformnwhichnofnthenfollowingnactions?
Instructnthenclientntonavoidncoughingnduringnthenprocedure.
Itnisnimportantnfornthennursentonremindnthenclientntonavoidncoughingnandntonlienstillnduringnanthoracente
sisntonavoidnpuncturingnthenpleura.
10. AnnurseninnthenEDnisnassessingnanpreschoolernwhonhasnanfacialnlaceration.nThen
nursenshouldnidentifynwhichnofnthenfollowingnfindingsnasnanpotentialnindicationnofn
childnsexualnabuse?
Thenchildnexhibitsndiscomfortnwhilenwalking.
Thennursenshouldnidentifynthisnfindingnasnanpotentialnindicationnofnchildnsexualnabuse.
11. Annursenisnpreparingntonteachnaboutndietarynmanagementntonanclientnwhonhasn
Crohn’sndiseasenandnannenteronentericnfistula.nWhichnofnthenfollowingnnutrientsn
shouldnthennurseninstructnthenclientntondecreaseninntheirndiet?
Fiber
Thennursenshouldninstructnthenclientntonconsumenanlow-
fiberndietntonreducendiarrheanandninflammation.
12. Annursenisncaringnfornanclientnwhonhasnanprescriptionnfornancontinuousnpassiven
motionn(CPM)nmachinenfollowingnantotalnkneenarthroplasty.nWhichnofnthenfollowin
gnactionsnshouldnthennursentake?
TurnnoffnthenCPMnmachinenduringnmealtime.nThi
snpromotesnclientncomfortnandndietarynintake.
