AM
ATI COMPREHENSIVE A CAPSTONE EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (177)
9.A client who has a diagnosis of complete Prepare the client for a cesarean section
placenta previa is admitted to the
labor
and delivery suite at 36 weeks gestation
with contractions 5 min in frequency and 1
min in duration. Which of the following
actions should the nurse take?
A. Rupture the amniotic sac
B.Medicate the client for pain
C. Prepare the client for a cesarean section
D.Perform a vaginal exam
177. A nurse enters a client's room and finds Client found lying on the floor near the bedside table
the client lying on the floor in a puddle
of water. Which of the following
statements
should the nurse document in an incident
report?
A. Client fell out of bed because an
assistive personnel left the rails of the
bed down
B.Client's roommate thinks the client is
confused and fell when getting out of bed
C. Client appears to have slipped in water
but reports no injuries
D.Client found lying on the floor near the
bedside table
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178. A charge nurse on a pediatric unit is A 10-year-old client who has pneumonia and is receiving respiratory treatments
making assignments for a float nurse from
the medical unit. Which of the following
clients is appropriate to assign to the float
nurse?
A. A 10-year-old client who has pneumonia
and is receiving respiratory treatments
B. A 4-year-old client who has
a Wilms tumor and is receiving
chemotherapy
C. An 8-month-old client who is scheduled
for a surgical repair of a ventricular
septal defect tomorrow
D.A 14-year-old client who is scheduled for
discharge today following placement of
a Herrington rod
179. A nurse is preparing to administer Ototoxicity
vancomycin to a client who has an
infected wound. The nurse should plan
to monitor for which of the following
adverse
reactions?
A. Hepatotoxicity
B.Ototoxicity
C. Hypercalcemia
D.Hypertension
180. A nurse is assessing an infant who has Thready pulse
water intoxication. Which of the following
findings should the nurse expect?
A. Generalized edema
B.Elevated urine specific gravity
C. Thready pulse
D.Increased hematocrit
1. A home health nurse is Inform the client of available community resources
conducting an initial home visit for a
client who has
terminal breast cancer. The client has
two school-age children and a limited
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is the priority nursing action?
A. Inform the client of available
community resources
B. Assist the client in finding
child care options
C. Agree upon short-term goals for the
client
D.Ask the client about their
understanding of the diagnosis
2.A nurse in an emergency department Clear fluid drainage from the nares
is assessing a client who has a nasal
fracture. Which of the following findings
should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B.Report of pain around the eyes
C. Dried blood in the mouth
D.Mandibular asymmetry
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3.A nurse in an urgent care clinic is Profuse milky white discharge
collecting admission history from a client
who is at 16 weeks of gestation and has
bacterial vaginosis. The nurse should
recognize that which of the following
clinical findings are associated with this
infection?
A. Profuse milky white discharge
B.Frequency and dysuria
C. Low-grade fever
D.Hematuria
4.A nurse is discussing the z-track This technique decreases the risk of subcutaneous infiltration
administration of hydroxyzine with a newly
licensed nurse. Which of the following
statements indicates the newly
licensed
nurse understands the purpose of the
technique?
A. This technique prevents injury to
the sciatic nerve
B. This technique decreases
the risk of subcutaneous infiltration
C. This technique allows a larger amount
of medication to be injected
D.This technique increases the
absorption rate of the drug
10. A nurse is caring for a full-term Dry the newborn
newborn immediately following birth.
Which of the following actions should
the nurse take
first?
A. Instill erythromycin ophthalmic ointment
in the newborn's eyes
B.Weigh the newborn
C. Place identification bracelets on the
newborn
D.Dry the newborn
11. A nurse is planning to Clients who have a history of viral hepatitis are unable to donate blood
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