RN ATI CAPSTONE PROCTORE
b b bb
D COMPREHENSIVE ASSESSM
bb bb
ENT 2019 B | ATI COMPREHENS b b b b bb
IVE PRACTICE TEST B (BEST S b bb b b b
TUDY GUIDE VERSION WITH C b bb b b
OMPLETE SOLUTION) bb
RN ATI Capstone Proctored Comprehensive Assessment 20
b b b b b b
19 B/ ATI Comprehensive 2019 B| RN ATI Capstone Procto
b b b b b b b b b
red|A Graded|NEW!!!b
, 1
1 .Abnursebisbassessingbabclientbwhobreceivedb2bunitsbofbpackedbRBCsb48bhoursbag
o.bWhichbofbthebfollowingbfindingsbshouldbindicatebtobthebnursebthatbthebtherapybha
sbbeenbeffective?
Hemoglobinb14.9bg/dl
ThebnursebshouldbidentifybthatbpackedbRBCsbarebadministeredbtobclientsbwhobhavebabdecre
asedblevelbofbhemoglobinborbhematocrit.bThisbhemoglobinblevelbisbwithinbthebexpectedbrefe
rencebrangebofb14btob18bg/dlbforbmalesbandb12btob16bg/dlbforbfemales,bindicatingbthebtherap
ybhasbbeenbeffective.
2 .Abnursebworkingbinbabnbemergencybdepartmentbisbtriagingbfourbclients.bWhichbof
bthebfollowingbclientsbshouldbthebnursebrecommendbforbtreatmentbfirst?
Abmiddlebadultbclientbwhobhasbunstablebvitalbsigns.
Usingbthebstablebversusbunstablebapproachbtobclientbcare,bthebnursebshouldbrecommendb
prioritybtreatmentbforbthebclientbwhobhasbunstablebvitalbsignsbbecausebthisbclientbrequiresbi
mmediatebtreatmentbtobreducebthebriskbofbfurtherbinjuryborbpossiblebdeath.
3. Abnursebisbcaringbforbabclientbwhobhasbfluidbvolumeboverload.bWhichbofbtheb
followingbtasksbshouldbthebnursebdelegatebtobthebCNA?
Measurebthebclient’sbdailybweight
ItbisbwithinbthebCNAsbrangebofbfunctionbtobmeasurebabclient’sbdailybweight,bsobthebnursebsho
uldbdelegatebthisbtaskbtobthem.
4. Abnursebisbpreparingbtobadministerbmannitolb0.2g/kgbIVbbolusboverb5bminbasbabte
stbdosebtobabclientbwhobhasbsevereboliguria.bThebclientbweighsb198lb.bWhatbisbtheba
mountbinbgramsbthebnursebshouldbadminister?
18bg
5. Abnursebisbconductingbabphysicalbexaminationbforbanbadolescentbandbisb
assessingbthebrangebofbmotionbofbtheblegs.bWhichbofbthebfollowingbimagesb
indicatesbthebadolescentbisbabductingbthebhipbjoint?
Inbthebcorrectbimage,bthebadolescentbisbabductionbthebhipbjointbbybmovingbtheblegbawaybfrom
bthebmidlinebof bthebbody.
6. Abnursebisbcaringbforbabclientb whobhasbhyperthyroidism.bWhichbofbthebfollowingb
findingsbshouldbthebnursebexpect?
Tremors
, 2
Tremorsbarebabmanifestationbofbhyperthyroidism,balongbwithbtachycardia,bdiaphoresis,bweig
htbloss,binsomnia,bandbexophthalmia.
7. Abnursebisbassessingbab school-
agedbchildbwhobhasbbacterialbmeningitis.bWhichbofbthebfollowingbfindingsbshouldbt
hebnursebexpect?
Nuchalbrigidity
Thisbisbabmanifestationbofbbacterialbmeningitis.
8. Abnursebisbassessingbab newborn’sbheartbrate.bWhichbofbthebfollowingbactionsb
shouldbthebnursebtake?
Auscultatebthebapicalbpulsebatbleastb1bmin.
Thebnursebshouldbauscultatebthebapicalbpulsebtobobtainbanbaccuratebassessmentbofbheartbr
atebandbrhythm.bAuscultationbofbabnewborn’sbheartbsoundsbcanbbebdifficultbbecausebofbtheb
rapidbratebandbthebtransmissionbofbrespiratorybsounds.
9. Abnursebisbpreparingbtobassistbwithbabthoracentesisbforbabclientbwhobhasbpleurisy.b
Thebnursebshouldbplanbtobperformbwhichbofbthebfollowingbactions?
Instructbthebclientbtobavoidbcoughingbduringbthebprocedure.
Itbisbimportantbforbthebnursebtobremindbthebclientbtobavoidbcoughingbandbtobliebstillbduringbabthoracentesi
sbtobavoidbpuncturingbthebpleura.
10. AbnursebinbthebEDbisbassessingbabpreschoolerbwhobhasbabfacialblaceration.bTheb
nursebshouldbidentifybwhichbofbthebfollowingbfindingsbasbabpotentialbindicationbofb
childbsexualbabuse?
Thebchildbexhibitsbdiscomfortbwhilebwalking.
Thebnursebshouldbidentifybthisbfindingbasbabpotentialbindicationbofbchildbsexualbabuse.
11. Abnursebisbpreparingbtobteachbaboutbdietarybmanagementbtobabclientbwhobhasb
Crohn’sbdiseasebandbanbenterobentericbfistula.bWhichbofbthebfollowingbnutrientsb
shouldbthebnursebinstructbthebclientbtobdecreasebinbtheirbdiet?
Fiber
Thebnursebshouldbinstructbthebclientbtobconsumebablow-
fiberbdietbtobreducebdiarrheabandbinflammation.
12. Abnursebisbcaringbforbabclientbwhobhasbabprescriptionbforbabcontinuousbpassiveb
motionb(CPM)bmachinebfollowingbabtotalbkneebarthroplasty.bWhichbofbthebfollowin
gbactionsbshouldbthebnursebtake?
TurnboffbthebCPMbmachinebduringbmealtime.bThi
sbpromotesbclientbcomfortbandbdietarybintake.
b b bb
D COMPREHENSIVE ASSESSM
bb bb
ENT 2019 B | ATI COMPREHENS b b b b bb
IVE PRACTICE TEST B (BEST S b bb b b b
TUDY GUIDE VERSION WITH C b bb b b
OMPLETE SOLUTION) bb
RN ATI Capstone Proctored Comprehensive Assessment 20
b b b b b b
19 B/ ATI Comprehensive 2019 B| RN ATI Capstone Procto
b b b b b b b b b
red|A Graded|NEW!!!b
, 1
1 .Abnursebisbassessingbabclientbwhobreceivedb2bunitsbofbpackedbRBCsb48bhoursbag
o.bWhichbofbthebfollowingbfindingsbshouldbindicatebtobthebnursebthatbthebtherapybha
sbbeenbeffective?
Hemoglobinb14.9bg/dl
ThebnursebshouldbidentifybthatbpackedbRBCsbarebadministeredbtobclientsbwhobhavebabdecre
asedblevelbofbhemoglobinborbhematocrit.bThisbhemoglobinblevelbisbwithinbthebexpectedbrefe
rencebrangebofb14btob18bg/dlbforbmalesbandb12btob16bg/dlbforbfemales,bindicatingbthebtherap
ybhasbbeenbeffective.
2 .Abnursebworkingbinbabnbemergencybdepartmentbisbtriagingbfourbclients.bWhichbof
bthebfollowingbclientsbshouldbthebnursebrecommendbforbtreatmentbfirst?
Abmiddlebadultbclientbwhobhasbunstablebvitalbsigns.
Usingbthebstablebversusbunstablebapproachbtobclientbcare,bthebnursebshouldbrecommendb
prioritybtreatmentbforbthebclientbwhobhasbunstablebvitalbsignsbbecausebthisbclientbrequiresbi
mmediatebtreatmentbtobreducebthebriskbofbfurtherbinjuryborbpossiblebdeath.
3. Abnursebisbcaringbforbabclientbwhobhasbfluidbvolumeboverload.bWhichbofbtheb
followingbtasksbshouldbthebnursebdelegatebtobthebCNA?
Measurebthebclient’sbdailybweight
ItbisbwithinbthebCNAsbrangebofbfunctionbtobmeasurebabclient’sbdailybweight,bsobthebnursebsho
uldbdelegatebthisbtaskbtobthem.
4. Abnursebisbpreparingbtobadministerbmannitolb0.2g/kgbIVbbolusboverb5bminbasbabte
stbdosebtobabclientbwhobhasbsevereboliguria.bThebclientbweighsb198lb.bWhatbisbtheba
mountbinbgramsbthebnursebshouldbadminister?
18bg
5. Abnursebisbconductingbabphysicalbexaminationbforbanbadolescentbandbisb
assessingbthebrangebofbmotionbofbtheblegs.bWhichbofbthebfollowingbimagesb
indicatesbthebadolescentbisbabductingbthebhipbjoint?
Inbthebcorrectbimage,bthebadolescentbisbabductionbthebhipbjointbbybmovingbtheblegbawaybfrom
bthebmidlinebof bthebbody.
6. Abnursebisbcaringbforbabclientb whobhasbhyperthyroidism.bWhichbofbthebfollowingb
findingsbshouldbthebnursebexpect?
Tremors
, 2
Tremorsbarebabmanifestationbofbhyperthyroidism,balongbwithbtachycardia,bdiaphoresis,bweig
htbloss,binsomnia,bandbexophthalmia.
7. Abnursebisbassessingbab school-
agedbchildbwhobhasbbacterialbmeningitis.bWhichbofbthebfollowingbfindingsbshouldbt
hebnursebexpect?
Nuchalbrigidity
Thisbisbabmanifestationbofbbacterialbmeningitis.
8. Abnursebisbassessingbab newborn’sbheartbrate.bWhichbofbthebfollowingbactionsb
shouldbthebnursebtake?
Auscultatebthebapicalbpulsebatbleastb1bmin.
Thebnursebshouldbauscultatebthebapicalbpulsebtobobtainbanbaccuratebassessmentbofbheartbr
atebandbrhythm.bAuscultationbofbabnewborn’sbheartbsoundsbcanbbebdifficultbbecausebofbtheb
rapidbratebandbthebtransmissionbofbrespiratorybsounds.
9. Abnursebisbpreparingbtobassistbwithbabthoracentesisbforbabclientbwhobhasbpleurisy.b
Thebnursebshouldbplanbtobperformbwhichbofbthebfollowingbactions?
Instructbthebclientbtobavoidbcoughingbduringbthebprocedure.
Itbisbimportantbforbthebnursebtobremindbthebclientbtobavoidbcoughingbandbtobliebstillbduringbabthoracentesi
sbtobavoidbpuncturingbthebpleura.
10. AbnursebinbthebEDbisbassessingbabpreschoolerbwhobhasbabfacialblaceration.bTheb
nursebshouldbidentifybwhichbofbthebfollowingbfindingsbasbabpotentialbindicationbofb
childbsexualbabuse?
Thebchildbexhibitsbdiscomfortbwhilebwalking.
Thebnursebshouldbidentifybthisbfindingbasbabpotentialbindicationbofbchildbsexualbabuse.
11. Abnursebisbpreparingbtobteachbaboutbdietarybmanagementbtobabclientbwhobhasb
Crohn’sbdiseasebandbanbenterobentericbfistula.bWhichbofbthebfollowingbnutrientsb
shouldbthebnursebinstructbthebclientbtobdecreasebinbtheirbdiet?
Fiber
Thebnursebshouldbinstructbthebclientbtobconsumebablow-
fiberbdietbtobreducebdiarrheabandbinflammation.
12. Abnursebisbcaringbforbabclientbwhobhasbabprescriptionbforbabcontinuousbpassiveb
motionb(CPM)bmachinebfollowingbabtotalbkneebarthroplasty.bWhichbofbthebfollowin
gbactionsbshouldbthebnursebtake?
TurnboffbthebCPMbmachinebduringbmealtime.bThi
sbpromotesbclientbcomfortbandbdietarybintake.
