2025 RN ATI CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT 2019 B 150
QUESTIONS & CORRECT ANSWERS
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which
of the following findings should indicate to the nurse that the therapy has been
effective? - ANSWER-Hemoglobin 14.9 g/dL
A nurse working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first? - ANSWER-A
middle adult client who has unstable vital signs
A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to an assistive personnel (AP)? -
ANSWER-Measure the client's daily weight.
A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weighs 198 lb. What is the
amount in grams the nurse should administer? - ANSWER-18 g
A nurse is conducting a physical examination for an adolescent and is assessing
the range of motion of the legs. Which of the following images indicates the
adolescent is abducting the hip joint? - ANSWER-D
https://prnt.sc/117izgs
,A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect? - ANSWER-Tremors
A nurse is assessing a school-age child who has bacterial meningitis. Which of the
following findings should the nurse expect? - ANSWER-Nuchal rigidity
A nurse is assessing a newborn's heart rate. Which of the following actions should
the nurse take? - ANSWER-Auscultate the apical pulse at least 1 min.
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions? - ANSWER-
Instruct the client to avoid coughing during the procedure.
A nurse in the emergency department is assessing a preschooler who has a facial
laceration. The nurse should identify which of the following findings as a potential
indication of child sexual abuse? - ANSWER-The child exhibits discomfort while
walking.
A nurse is preparing to teach about dietary management to a client who has
Crohn's disease and an enteroenteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet? - ANSWER-Fiber
A nurse is caring for a client who has a prescription for a continuous passive
motion (CPM) machine following a total knee arthroplasty. Which of the following
actions should the nurse take? - ANSWER-Turn off the CPM machine during
mealtime.
, A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client? -
ANSWER-Radial vein of the inner arm
A nurse is developing an education program about osteoporosis for older adult
clients. The nurse should include which of the following variables as a risk factor
for osteoporosis? - ANSWER-Sedentary lifestyle
A nurse in the emergency department is caring for a child who has a fever and
fluid-filled vesicles on the trunk and extremities. Which of the following
interventions should the nurse identify as the priority? - ANSWER-Initiate
transmission-based precautions.
A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding
tube. Which of the following actions should the nurse take first? - ANSWER-
Change the position of the client.
A home health care nurse is developing a teaching plan for a client who has a new
ileostomy. Which of the following instructions should the nurse include? -
ANSWER-Empty the appliance when it is one-third to one-half full.
A nurse is reviewing the laboratory report of a client who has end-stage kidney
disease and received hemodialysis 24 hr ago. Which of the following laboratory
values should the nurse report to the provider? - ANSWER-Sodium 148 mEq/L
A nurse is caring for four clients. Which of the following tasks should the nurse
delegate to an assistive personnel (AP)? - ANSWER-Arrange the lunch tray for a
client who has a hip fracture.
COMPREHENSIVE ASSESSMENT 2019 B 150
QUESTIONS & CORRECT ANSWERS
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which
of the following findings should indicate to the nurse that the therapy has been
effective? - ANSWER-Hemoglobin 14.9 g/dL
A nurse working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first? - ANSWER-A
middle adult client who has unstable vital signs
A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to an assistive personnel (AP)? -
ANSWER-Measure the client's daily weight.
A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weighs 198 lb. What is the
amount in grams the nurse should administer? - ANSWER-18 g
A nurse is conducting a physical examination for an adolescent and is assessing
the range of motion of the legs. Which of the following images indicates the
adolescent is abducting the hip joint? - ANSWER-D
https://prnt.sc/117izgs
,A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect? - ANSWER-Tremors
A nurse is assessing a school-age child who has bacterial meningitis. Which of the
following findings should the nurse expect? - ANSWER-Nuchal rigidity
A nurse is assessing a newborn's heart rate. Which of the following actions should
the nurse take? - ANSWER-Auscultate the apical pulse at least 1 min.
A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions? - ANSWER-
Instruct the client to avoid coughing during the procedure.
A nurse in the emergency department is assessing a preschooler who has a facial
laceration. The nurse should identify which of the following findings as a potential
indication of child sexual abuse? - ANSWER-The child exhibits discomfort while
walking.
A nurse is preparing to teach about dietary management to a client who has
Crohn's disease and an enteroenteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet? - ANSWER-Fiber
A nurse is caring for a client who has a prescription for a continuous passive
motion (CPM) machine following a total knee arthroplasty. Which of the following
actions should the nurse take? - ANSWER-Turn off the CPM machine during
mealtime.
, A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client? -
ANSWER-Radial vein of the inner arm
A nurse is developing an education program about osteoporosis for older adult
clients. The nurse should include which of the following variables as a risk factor
for osteoporosis? - ANSWER-Sedentary lifestyle
A nurse in the emergency department is caring for a child who has a fever and
fluid-filled vesicles on the trunk and extremities. Which of the following
interventions should the nurse identify as the priority? - ANSWER-Initiate
transmission-based precautions.
A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding
tube. Which of the following actions should the nurse take first? - ANSWER-
Change the position of the client.
A home health care nurse is developing a teaching plan for a client who has a new
ileostomy. Which of the following instructions should the nurse include? -
ANSWER-Empty the appliance when it is one-third to one-half full.
A nurse is reviewing the laboratory report of a client who has end-stage kidney
disease and received hemodialysis 24 hr ago. Which of the following laboratory
values should the nurse report to the provider? - ANSWER-Sodium 148 mEq/L
A nurse is caring for four clients. Which of the following tasks should the nurse
delegate to an assistive personnel (AP)? - ANSWER-Arrange the lunch tray for a
client who has a hip fracture.
