RN ATI CAPSTONE PROCTORED COMPREHENSI
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VE ASSESSMENT B|| 2024-
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2025 QUESTIONS AND 100% CORRECT ANSWER
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S WELL EXPLAINED ALREADY GRADED A+|| LA
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TEST AND COMPLETE VERSION 2024- M M M M
2025 WITH VERIFIED SOLUTIONS|| ASSURED PA
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SS!!!!
1.A nurse is assessing a client who received 2 units of packed RBCs 48 hours ag
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o. Which of the following findings should indicate to the nurse that the therapy h
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as been effective?
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Hemoglobin 14.9 g/dl M M
The nurse should identify that packed RBCs are administered to clients who have
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a decreased level of hemoglobin or hematocrit. This hemoglobin level is within the
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Mexpected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,
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Mindicating the therapy has been effective.
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2. A nurse working in a n emergency department is triaging four clients. Which
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of the following clients should the nurse recommend for treatment first?
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A middle adult client who has unstable vital signs.
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Using the stable versus unstable approach to client care, the nurse should recom
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mend priority treatment for the client who has unstable vital signs because this cli
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ent requires immediate treatment to reduce the risk of further injury or possible
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death.
3. A nurse is caring for a client who has fluid volume overload. Which of t
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he following tasks should the nurse delegate to the CNA?
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Measure the client’s daily weight
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It is within the CNAs range of function to measure a client’s daily weight, so the
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nurse should delegate this task to them.
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4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min a
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s a test dose to a client who has severe oliguria. The client weighs 198lb. What is
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Mthe amount in grams the nurse should administer?
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18 g M
5. A nurse is conducting a physical examination for an adolescent and is ass
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essing the range of motion of the legs. Which of the following images indicates t
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he adolescent is abducting the hip joint?
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In the correct image, the adolescent is abduction the hip joint by moving the l
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eg away from the midline of the body.
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6. A nurse is caring for a client who has hyperthyroidism. Which of t
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he following findings should the nurse expect?
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Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaph
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oresis, weight loss, insomnia, and exophthalmia.
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7. A nurse is assessing a school-
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aged child who has bacterial meningitis. Which of the following findings s
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hould the nurse expect?
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Nuchal rigidity M
This is a manifestation of bacterial meningitis.
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8. A nurse is assessing a newborn’s heart rate. Which of the following actio
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ns should the nurse take?
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Auscultate the apical pulse at least 1 min.
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The nurse should auscultate the apical pulse to obtain an accurate assessment
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of heart rate and rhythm. Auscultation of a newborn’s heart sounds can be diff
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icult because of the rapid rate and the transmission of respiratory sounds.
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9. A nurse is preparing to assist with a thoracentesis for a client who h
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as pleurisy. The nurse should plan to perform which of the following actio
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ns?
Instruct the client to avoid coughing during the procedure.
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It is important for the nurse to remind the client to avoid coughing and to lie still d
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uring a thoracentesis to avoid puncturing the pleura.
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10. A nurse in the ED is assessing a preschooler who has a facial laceration. T
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he nurse should identify which of the following findings as a potential indication
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Mof child sexual abuse?
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The child exhibits discomfort while walking.
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The nurse should identify this finding as a potential indication of child sexual
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abuse.
11. A nurse is preparing to teach about dietary management to a client who h
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as Crohn’s disease and an entero enteric fistula. Which of the following nutrient
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s should the nurse instruct the client to decrease in their diet?
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Fiber
The nurse should instruct the client to consume a low-
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fiber diet to reduce diarrhea and inflammation.
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12. A nurse is caring for a client who has a prescription for a continuous passi
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ve motion (CPM) machine following a total knee arthroplasty. Which of the follo
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wing actions should the nurse take?
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Turn off the CPM machine during mealtime. This promotes client comfort a
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nd dietary intake.
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13. A nurse is preparing to initiate IV access for an older adult client. Which
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of the following sites should the nurse select when initiating the IV for the clien
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t?
Radial vein of the inner arm.
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This site will have adequate subcutaneous tissue
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14. A nurse is developing a client education program a bout osteoporosis for
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older adult clients. The nurse should include which of the following variables a
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s a risk factor for osteoporosis?
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Sedentary lifestyle. M
This is a risk factor for osteoporosis. The nurse should encourage older ad
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ult clients to engage in weight-
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bearing exercises because they will promote bone health by increasing calci
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um and phosphorus levels.
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15. A nurse in an ED is caring for a child who has a fever and fluid-
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filled vesicles on the trunk and extremities. Which of the following intervention
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s should the nurse identify as the priority?
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Initiate transmission-based precautions
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When using the urgent versus nonurgent approach to client care, the nurse shoul
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d determine that the priority action is to initiate transmission-
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based precautions for the child. The child most likely has varicella. Therefore, th
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e nurse should isolate the child to prevent the spread of the infection.
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16. A nurse is caring for a client who has a clogged percutaneous gastrosto
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my feeding tube. Which of the following actions should the nurse take first?
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Change the position of the client.
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When providing client care, the nurse should use the least restrictive interventi
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on first. Therefore, the nurse should reposition the client to remove any kinks i
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n the tube, which can lead to clogging. If this method is unsuccessful, the nurse
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Mshould attempt to flush or aspirate the client’s tube to remove the clog.
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17. A home health care nurse is developing a teaching plan for a client who
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has a new ileostomy.
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Which of the following instructions should the nurse include?
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