RN ATI capstone proctored comprehensive assessment 2019 B
Study online at https://quizlet.com/_hkdsep
1. 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?: Hemoglobin 14.9 g/dL
2. A nurse working in an emergency department is triaging four clients. Which
of the following clients should the nurse recommend for treatment first?: A middle
adult client who has unstable vital signs
3. 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)?: Measure
the client's daily weight.
4. 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?: 18 g
5. A nurse is conducting a physical examination for an adolescent and is assess-
ing the range of motion of the legs. Which of the following images indicates
the adolescent is abducting the hip joint?: D
https://prnt.sc/117izgs
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?: Tremors
7. A nurse is assessing a school-age child who has bacterial meningitis. Which
of the following findings should the nurse expect?: Nuchal rigidity
8. A nurse is assessing a newborn's heart rate. Which of the following actions
should the nurse take?: Auscultate the apical pulse at least 1 min.
9. 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?: -
Instruct the client to avoid coughing during the procedure.
10. 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?: The child exhibits discomfort while walking.
11. 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?: Fiber
, RN ATI capstone proctored comprehensive assessment 2019 B
Study online at https://quizlet.com/_hkdsep
12. 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 follow-
ing actions should the nurse take?: Turn off the CPM machine during mealtime.
13. 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?: Radia
vein of the inner arm
14. 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?: Sedentary lifestyle
15. 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?: Initiate transmission-based pre-
cautions.
16. 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?: Change
the position of the client.
17. 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?: Empty the appliance when it is one-third to one-half full.
18. 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?: Sodium 148 mEq/L
19. A nurse is caring for four clients. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)?: Arrange the lunch tray for a client who has a hip
fracture.
20. A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?: Instruct the client to void.
21. A nurse has received change-of-shift report on four assigned clients. For
which of the following clients should the nurse intervene to prevent a potential
food and medication interaction?: A client who is receiving an MAOI and is requesting a cheeseburger
for dinner.
, RN ATI capstone proctored comprehensive assessment 2019 B
Study online at https://quizlet.com/_hkdsep
22. A nurse is planning care for a client who has rheumatoid arthritis and has
moderate to severe pain in multiple joints. Which of the following actions
should the nurse plan to take?: Allow for frequent rest periods throughout the day.
23. A nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate. The client reports bladder
spasms, and the nurse observes a decreased urinary output. Which of the
following actions should the nurse take?: Irrigate the catheter with 0.9% sodium chloride irrigation.
24. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?: pH 7.31
25. A nurse in a community center is providing an educational session to a
group of clients about ovarian cancer. Which of the following manifestations
of ovarian cancer should the nurse include in the teaching?: Abdominal bloating
26. A nurse is caring for a client who has active tuberculosis (TB). Which of the
following actions should the nurse plan to take to prevent the transmission of
the disease?: Have the client wear a surgical mask while being transported outside the room.
27. A nurse is caring for a group of clients. Which of the following clients should
the nurse attend to first?: An older adult client who is anxious and attempting to pull out an IV line
28. An RN is observing a licensed practical nurse (LPN) and an assistive person-
nel (AP) move a client up in bed. For which of the following situations should
the nurse intervene?: The LPN and the AP grasp the client under his arms to lift him up in bed.
29. A nurse is preparing to administer insulin to a client via a pen device. Which
of the following actions should the nurse take?: Hold the insulin pen device perpendicular to
the client's skin to inject the medication.
30. A nurse is caring for a client who has immunosuppression and a continuous
IV infusion. Which of the following actions should the nurse take?: Monitor the client's
mouth every 8 hr.
31. A nurse is providing teaching about advanced directives to a middle adult
client. Which of the following client responses indicates an understanding of
the teaching?: "I can designate my partner as my health care surrogate."
32. A nurse is assessing a client following a vaginal delivery and notes heavy
lochia and a boggy fundus. Which of the following medications should the
nurse expect to administer?: Oxytocin
Study online at https://quizlet.com/_hkdsep
1. 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?: Hemoglobin 14.9 g/dL
2. A nurse working in an emergency department is triaging four clients. Which
of the following clients should the nurse recommend for treatment first?: A middle
adult client who has unstable vital signs
3. 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)?: Measure
the client's daily weight.
4. 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?: 18 g
5. A nurse is conducting a physical examination for an adolescent and is assess-
ing the range of motion of the legs. Which of the following images indicates
the adolescent is abducting the hip joint?: D
https://prnt.sc/117izgs
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?: Tremors
7. A nurse is assessing a school-age child who has bacterial meningitis. Which
of the following findings should the nurse expect?: Nuchal rigidity
8. A nurse is assessing a newborn's heart rate. Which of the following actions
should the nurse take?: Auscultate the apical pulse at least 1 min.
9. 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?: -
Instruct the client to avoid coughing during the procedure.
10. 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?: The child exhibits discomfort while walking.
11. 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?: Fiber
, RN ATI capstone proctored comprehensive assessment 2019 B
Study online at https://quizlet.com/_hkdsep
12. 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 follow-
ing actions should the nurse take?: Turn off the CPM machine during mealtime.
13. 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?: Radia
vein of the inner arm
14. 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?: Sedentary lifestyle
15. 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?: Initiate transmission-based pre-
cautions.
16. 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?: Change
the position of the client.
17. 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?: Empty the appliance when it is one-third to one-half full.
18. 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?: Sodium 148 mEq/L
19. A nurse is caring for four clients. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)?: Arrange the lunch tray for a client who has a hip
fracture.
20. A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?: Instruct the client to void.
21. A nurse has received change-of-shift report on four assigned clients. For
which of the following clients should the nurse intervene to prevent a potential
food and medication interaction?: A client who is receiving an MAOI and is requesting a cheeseburger
for dinner.
, RN ATI capstone proctored comprehensive assessment 2019 B
Study online at https://quizlet.com/_hkdsep
22. A nurse is planning care for a client who has rheumatoid arthritis and has
moderate to severe pain in multiple joints. Which of the following actions
should the nurse plan to take?: Allow for frequent rest periods throughout the day.
23. A nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate. The client reports bladder
spasms, and the nurse observes a decreased urinary output. Which of the
following actions should the nurse take?: Irrigate the catheter with 0.9% sodium chloride irrigation.
24. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?: pH 7.31
25. A nurse in a community center is providing an educational session to a
group of clients about ovarian cancer. Which of the following manifestations
of ovarian cancer should the nurse include in the teaching?: Abdominal bloating
26. A nurse is caring for a client who has active tuberculosis (TB). Which of the
following actions should the nurse plan to take to prevent the transmission of
the disease?: Have the client wear a surgical mask while being transported outside the room.
27. A nurse is caring for a group of clients. Which of the following clients should
the nurse attend to first?: An older adult client who is anxious and attempting to pull out an IV line
28. An RN is observing a licensed practical nurse (LPN) and an assistive person-
nel (AP) move a client up in bed. For which of the following situations should
the nurse intervene?: The LPN and the AP grasp the client under his arms to lift him up in bed.
29. A nurse is preparing to administer insulin to a client via a pen device. Which
of the following actions should the nurse take?: Hold the insulin pen device perpendicular to
the client's skin to inject the medication.
30. A nurse is caring for a client who has immunosuppression and a continuous
IV infusion. Which of the following actions should the nurse take?: Monitor the client's
mouth every 8 hr.
31. A nurse is providing teaching about advanced directives to a middle adult
client. Which of the following client responses indicates an understanding of
the teaching?: "I can designate my partner as my health care surrogate."
32. A nurse is assessing a client following a vaginal delivery and notes heavy
lochia and a boggy fundus. Which of the following medications should the
nurse expect to administer?: Oxytocin
