RN ATI CAPSTONE PROCTOR
c c c
ED COMPREHENSIVE ASSESS
c c
MENT 2019 B | ATI COMPREHE c c c c c
NSIVE PRACTICETEST B (BES c c c c
T STUDY GUIDE VERSION WIT
c c c c
H COMPLETE SOLUTION)
c c
RN ATI Capstone Proctored Comprehensive Assessment2
c c c c c c
019 B/ ATI Comprehensive 2019 B| RN ATI Capstone Proc
c c c c c c c c c
tored|A Graded|NEW!!! c
, 1
1 .Acnurseciscassessingcacclientcwhocreceivedc2cunitscofcpackedcRBCsc48chourscag
o.cWhichcofcthecfollowingcfindingscshouldcindicatectocthecnursecthatcthectherapychasc
beenceffective?
Hemoglobinc14.9cg/dl
ThecnursecshouldcidentifycthatcpackedcRBCscarecadministeredctocclientscwhochavecacdecrea
sedclevelcofchemoglobincorchematocrit.cThischemoglobinclevelciscwithincthecexpectedcrefere
ncecrangecofc14ctoc18cg/dlcforcmalescandc12ctoc16cg/dlcforcfemales,cindicatingcthectherapych
ascbeenceffective.
2 .Acnursecworkingcincacncemergencycdepartmentcisctriagingcfourcclients.cWhichcofct
hecfollowingcclientscshouldcthecnursecrecommendcforctreatmentcfirst?
Acmiddlecadultcclientcwhochascunstablecvitalcsigns.
Usingcthecstablecversuscunstablecapproachctocclientccare,cthecnursecshouldcrecommendcp
riorityctreatmentcforcthecclientcwhochascunstablecvitalcsignscbecausecthiscclientcrequirescim
mediatectreatmentctocreducecthecriskcofcfurthercinjurycorcpossiblecdeath.
3. Acnursecisccaringcforcacclientcwhochascfluidcvolumecoverload.cWhichcofcthecf
ollowingctaskscshouldcthecnursecdelegatectocthecCNA?
Measurecthecclient’scdailycweight
ItciscwithincthecCNAscrangecofcfunctionctocmeasurecacclient’scdailycweight,csocthecnursecshoul
dcdelegatecthisctaskctocthem.
4. Acnurseciscpreparingctocadministercmannitolc0.2g/kgcIVcboluscoverc5cmincascactes
tcdosectocacclientcwhochascseverecoliguria.cThecclientcweighsc198lb.cWhatciscthecamo
untcincgramscthecnursecshouldcadminister?
18cg
5. Acnurseciscconductingcacphysicalcexaminationcforcancadolescentcandcisca
ssessingcthecrangecofcmotioncofctheclegs.cWhichcofcthecfollowingcimagescin
dicatescthecadolescentciscabductingcthechipcjoint?
Inctheccorrectcimage,cthecadolescentciscabductioncthechipcjointcbycmovingctheclegcawaycfr
omcthecmidlinecofcthecbody.
6. Acnursecisccaringcforcacclientcwhochaschyperthyroidism.cWhichcofcthecfollowingcfi
ndingscshouldcthecnursecexpect?
Tremors
, 2
Tremorscarecacmanifestationcofchyperthyroidism,calongcwithctachycardia,cdiaphoresis,cweig
htcloss,cinsomnia,candcexophthalmia.
7. Acnurseciscassessingcacschool-
agedcchildcwhochascbacterialcmeningitis.cWhichcofcthecfollowingcfindingscshouldct
hecnursecexpect?
Nuchalcrigidity
Thisciscacmanifestationcofcbacterialcmeningitis.
8. Acnurseciscassessingcac newborn’scheartcrate.cWhichcofcthecfollowingcactionscs
houldcthecnursectake?
Auscultatecthecapicalcpulsecatcleastc1cmin.
Thecnursecshouldcauscultatecthecapicalcpulsectocobtaincancaccuratecassessmentcofcheartcrat
ecandcrhythm.cAuscultationcofcacnewborn’scheartcsoundsccancbecdifficultcbecausecofcthecra
pidcratecandcthectransmissioncofcrespiratorycsounds.
9. Acnurseciscpreparingctocassistcwithcacthoracentesiscforcacclientcwhochascpleurisy.cT
hecnursecshouldcplanctocperformcwhichcofcthecfollowingcactions?
Instructcthecclientctocavoidccoughingcduringcthecprocedure.
Itciscimportantcforcthecnursectocremindcthecclientctocavoidccoughingcandctocliecstillcduringcacthoracentesi
sctocavoidcpuncturingcthecpleura.
10. AcnursecincthecEDciscassessingcacpreschoolercwhochascacfacialclaceration.cThecn
ursecshouldcidentifycwhichcofcthecfollowingcfindingscascacpotentialcindicationcofcch
ildcsexualcabuse?
Thecchildcexhibitscdiscomfortcwhilecwalking.
Thecnursecshouldcidentifycthiscfindingcascacpotentialcindicationcofcchildcsexualcabuse.
11. AcnurseciscpreparingctocteachcaboutcdietarycmanagementctocacclientcwhochascC
rohn’scdiseasecandcancenterocentericcfistula.cWhichcofcthecfollowingcnutrientscsh
ouldcthecnursecinstructcthecclientctocdecreasecinctheircdiet?
Fiber
Thecnursecshouldcinstructcthecclientctocconsumecaclow-
fibercdietctocreducecdiarrheacandcinflammation.
12. Acnursecisccaringcforcacclientcwhochascacprescriptioncforcaccontinuouscpassivec
motionc(CPM)cmachinecfollowingcactotalckneecarthroplasty.cWhichcofcthecfollowin
gcactionscshouldcthecnursectake?
TurncoffcthecCPMcmachinecduringcmealtime.cThi
scpromotescclientccomfortcandcdietarycintake.
c c c
ED COMPREHENSIVE ASSESS
c c
MENT 2019 B | ATI COMPREHE c c c c c
NSIVE PRACTICETEST B (BES c c c c
T STUDY GUIDE VERSION WIT
c c c c
H COMPLETE SOLUTION)
c c
RN ATI Capstone Proctored Comprehensive Assessment2
c c c c c c
019 B/ ATI Comprehensive 2019 B| RN ATI Capstone Proc
c c c c c c c c c
tored|A Graded|NEW!!! c
, 1
1 .Acnurseciscassessingcacclientcwhocreceivedc2cunitscofcpackedcRBCsc48chourscag
o.cWhichcofcthecfollowingcfindingscshouldcindicatectocthecnursecthatcthectherapychasc
beenceffective?
Hemoglobinc14.9cg/dl
ThecnursecshouldcidentifycthatcpackedcRBCscarecadministeredctocclientscwhochavecacdecrea
sedclevelcofchemoglobincorchematocrit.cThischemoglobinclevelciscwithincthecexpectedcrefere
ncecrangecofc14ctoc18cg/dlcforcmalescandc12ctoc16cg/dlcforcfemales,cindicatingcthectherapych
ascbeenceffective.
2 .Acnursecworkingcincacncemergencycdepartmentcisctriagingcfourcclients.cWhichcofct
hecfollowingcclientscshouldcthecnursecrecommendcforctreatmentcfirst?
Acmiddlecadultcclientcwhochascunstablecvitalcsigns.
Usingcthecstablecversuscunstablecapproachctocclientccare,cthecnursecshouldcrecommendcp
riorityctreatmentcforcthecclientcwhochascunstablecvitalcsignscbecausecthiscclientcrequirescim
mediatectreatmentctocreducecthecriskcofcfurthercinjurycorcpossiblecdeath.
3. Acnursecisccaringcforcacclientcwhochascfluidcvolumecoverload.cWhichcofcthecf
ollowingctaskscshouldcthecnursecdelegatectocthecCNA?
Measurecthecclient’scdailycweight
ItciscwithincthecCNAscrangecofcfunctionctocmeasurecacclient’scdailycweight,csocthecnursecshoul
dcdelegatecthisctaskctocthem.
4. Acnurseciscpreparingctocadministercmannitolc0.2g/kgcIVcboluscoverc5cmincascactes
tcdosectocacclientcwhochascseverecoliguria.cThecclientcweighsc198lb.cWhatciscthecamo
untcincgramscthecnursecshouldcadminister?
18cg
5. Acnurseciscconductingcacphysicalcexaminationcforcancadolescentcandcisca
ssessingcthecrangecofcmotioncofctheclegs.cWhichcofcthecfollowingcimagescin
dicatescthecadolescentciscabductingcthechipcjoint?
Inctheccorrectcimage,cthecadolescentciscabductioncthechipcjointcbycmovingctheclegcawaycfr
omcthecmidlinecofcthecbody.
6. Acnursecisccaringcforcacclientcwhochaschyperthyroidism.cWhichcofcthecfollowingcfi
ndingscshouldcthecnursecexpect?
Tremors
, 2
Tremorscarecacmanifestationcofchyperthyroidism,calongcwithctachycardia,cdiaphoresis,cweig
htcloss,cinsomnia,candcexophthalmia.
7. Acnurseciscassessingcacschool-
agedcchildcwhochascbacterialcmeningitis.cWhichcofcthecfollowingcfindingscshouldct
hecnursecexpect?
Nuchalcrigidity
Thisciscacmanifestationcofcbacterialcmeningitis.
8. Acnurseciscassessingcac newborn’scheartcrate.cWhichcofcthecfollowingcactionscs
houldcthecnursectake?
Auscultatecthecapicalcpulsecatcleastc1cmin.
Thecnursecshouldcauscultatecthecapicalcpulsectocobtaincancaccuratecassessmentcofcheartcrat
ecandcrhythm.cAuscultationcofcacnewborn’scheartcsoundsccancbecdifficultcbecausecofcthecra
pidcratecandcthectransmissioncofcrespiratorycsounds.
9. Acnurseciscpreparingctocassistcwithcacthoracentesiscforcacclientcwhochascpleurisy.cT
hecnursecshouldcplanctocperformcwhichcofcthecfollowingcactions?
Instructcthecclientctocavoidccoughingcduringcthecprocedure.
Itciscimportantcforcthecnursectocremindcthecclientctocavoidccoughingcandctocliecstillcduringcacthoracentesi
sctocavoidcpuncturingcthecpleura.
10. AcnursecincthecEDciscassessingcacpreschoolercwhochascacfacialclaceration.cThecn
ursecshouldcidentifycwhichcofcthecfollowingcfindingscascacpotentialcindicationcofcch
ildcsexualcabuse?
Thecchildcexhibitscdiscomfortcwhilecwalking.
Thecnursecshouldcidentifycthiscfindingcascacpotentialcindicationcofcchildcsexualcabuse.
11. AcnurseciscpreparingctocteachcaboutcdietarycmanagementctocacclientcwhochascC
rohn’scdiseasecandcancenterocentericcfistula.cWhichcofcthecfollowingcnutrientscsh
ouldcthecnursecinstructcthecclientctocdecreasecinctheircdiet?
Fiber
Thecnursecshouldcinstructcthecclientctocconsumecaclow-
fibercdietctocreducecdiarrheacandcinflammation.
12. Acnursecisccaringcforcacclientcwhochascacprescriptioncforcaccontinuouscpassivec
motionc(CPM)cmachinecfollowingcactotalckneecarthroplasty.cWhichcofcthecfollowin
gcactionscshouldcthecnursectake?
TurncoffcthecCPMcmachinecduringcmealtime.cThi
scpromotescclientccomfortcandcdietarycintake.
