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Rn Ati Capstone Comprehensive Assessment
2025 Test Bank With 180 Complete 180 Questions
And Answers (Verified Answers) |Already
Graded A+||Brand New!!
17. A nurse is assessing a client's internal eye structures with an
ophthalmoscope. Which of the following actions should the
nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left
eye
C. Dim the lights in the room prior to the examination
D. Place the ophthalmoscope directly against the client's
forehead - ANSWER-Dim the lights in the room prior to the
examination
18. A nurse is observing a newly licensed nurse irrigate a client's
wound. Which of the following actions should the nurse identify
as an indication that the newly licensed nurse understands
wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
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C. Warms the irrigation solution in the microwave oven prior to
application
D. Irrigates the wound from the top to the bottom - ANSWER-
Administers PO analgesia 20 minutes prior to irrigation
19. A nurse is planning care for a child who has increased
intracranial pressure with a decrease in level of consciousness.
Which of the following interventions should the nurse include in
the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs - ANSWER-
Maintain the head at a midline position
20. A nurse notices smoke coming from a client's room and
discovers a fire in the wastebasket. After moving the client to
safety, which of the followings is the priority action?
A. Notify the facility operator
B. Close the fire doors on the unit
C. Turn off oxygen sources
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D. Put out the fire with the appropriate extinguisher -
ANSWER-Close the fire door on the unit
21. A nurse is talking with an adult child of a client who was
involuntarily admitted to an inpatient mental health facility.
Which of the following statements should the nurse make?
A. The provider will notify your patient's employer about
admission to the facility
B. Your parent will have to take the medication that the doctor
prescribes
C. Your parent might have electroconvulsive therapy without
providing consent
D. The provider can prescribe restraints if your parent tries to
harm others - ANSWER-The provider can prescribe restraints if
your parent tries to harm others
22. A nurse is assessing a client who has delirium due to a
febrile illness. Which of the following findings should the nurse
expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia - ANSWER-Hallucinations
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23. A nurse is assessing a client who is receiving enteral
feedings via a gastrostomy tube. The nurse should identify that
which of the following findings indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses - ANSWER-Bounding pulses
24. A nurse is caring for a client following an open colectomy.
Which of the following findings places the client at risk for
delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain - ANSWER-Hyperemesis
25. A nurse is assessing a client who has a complete heart block
and is receiving transcutaneous pacing. Which of the following
findings indicates to the nurse that the treatment is effective?
A. Heart rate greater than 60/min
B. Pedal pulses 2+
Rn Ati Capstone Comprehensive Assessment
2025 Test Bank With 180 Complete 180 Questions
And Answers (Verified Answers) |Already
Graded A+||Brand New!!
17. A nurse is assessing a client's internal eye structures with an
ophthalmoscope. Which of the following actions should the
nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left
eye
C. Dim the lights in the room prior to the examination
D. Place the ophthalmoscope directly against the client's
forehead - ANSWER-Dim the lights in the room prior to the
examination
18. A nurse is observing a newly licensed nurse irrigate a client's
wound. Which of the following actions should the nurse identify
as an indication that the newly licensed nurse understands
wound irrigation?
A. Cleanses the wound with povidone-iodine with cotton balls
B. Administers PO analgesia 20 min prior to irrigation
,2|Page
C. Warms the irrigation solution in the microwave oven prior to
application
D. Irrigates the wound from the top to the bottom - ANSWER-
Administers PO analgesia 20 minutes prior to irrigation
19. A nurse is planning care for a child who has increased
intracranial pressure with a decrease in level of consciousness.
Which of the following interventions should the nurse include in
the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs - ANSWER-
Maintain the head at a midline position
20. A nurse notices smoke coming from a client's room and
discovers a fire in the wastebasket. After moving the client to
safety, which of the followings is the priority action?
A. Notify the facility operator
B. Close the fire doors on the unit
C. Turn off oxygen sources
,3|Page
D. Put out the fire with the appropriate extinguisher -
ANSWER-Close the fire door on the unit
21. A nurse is talking with an adult child of a client who was
involuntarily admitted to an inpatient mental health facility.
Which of the following statements should the nurse make?
A. The provider will notify your patient's employer about
admission to the facility
B. Your parent will have to take the medication that the doctor
prescribes
C. Your parent might have electroconvulsive therapy without
providing consent
D. The provider can prescribe restraints if your parent tries to
harm others - ANSWER-The provider can prescribe restraints if
your parent tries to harm others
22. A nurse is assessing a client who has delirium due to a
febrile illness. Which of the following findings should the nurse
expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia - ANSWER-Hallucinations
, 4|Page
23. A nurse is assessing a client who is receiving enteral
feedings via a gastrostomy tube. The nurse should identify that
which of the following findings indicates fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses - ANSWER-Bounding pulses
24. A nurse is caring for a client following an open colectomy.
Which of the following findings places the client at risk for
delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain - ANSWER-Hyperemesis
25. A nurse is assessing a client who has a complete heart block
and is receiving transcutaneous pacing. Which of the following
findings indicates to the nurse that the treatment is effective?
A. Heart rate greater than 60/min
B. Pedal pulses 2+
