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1. A nurse is teaching a client who is postpartum about caring for their new-
born's umbilical cord. Which of the following instructions should the nurse
include?
A. Cover the cord with the upper edge of the diaper.
B. Apply petroleum jelly around the cord with every diaper change.
C. Report minor bleeding when the cord's stump falls off.
D. Wash the area around the base of the cord with water.: D. Wash the area around the
base of the cord with water.
2. A nurse is teaching a newly licensed nurse about advance directives. Which of
the following statements by the newly licensed nurse indicates an understand-
ing of the teaching?
A. "A health care surrogate must be a family member."
B. "The client can resume control of health care after a temporary loss of
competency."
C. "The provider will choose a client's health care surrogate."
D. "The provider can go against the client's wishes regarding advance direc-
tives.": B. "The client can resume control of health care after a temporary loss of competency."
3. A community health nurse is developing a plan of care for an older adult client
who has type 2 diabetes mellitus and lives independently in a rural area. Which
of the following interventions should the nurse include?
A. Suggest that the client attend adult day care three times per week.
B. Review assisted living accommodations with the client.
C. Discuss a long-term care referral for the client with the provider.
D. Instruct the client about the use of telehealth services.: D. Instruct the client about the
use of telehealth services.
4. A nurse is providing dietary teaching to the guardian of a preschooler who
has celiac disease. Which of the following foods should the nurse recommend
including in the preschooler's diet?
, ATI Capstone Proctored Comprehensive Assessment Form B
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A. A bologna sandwich on rye bread
B. corn tortilla with black beans
C. Whole wheat pasta with shrimp
D. Low sodium vegetable soup with barley: B. corn tortilla with black beans
5. A nurse is assessing a client who has schizophrenia prior to administering the
client's next dose of clozapine. Which of the following findings should the nurse
report to the provider?
A. Diaphoresis
B. Fever
C. Polyuria
D. Diarrhea: B. Fever
6. A nurse is caring for a client who is taking antihypertensive medication and
is moving from a supine to a sitting position. Which of the following findings
should indicate to the nurse that the client is experiencing orthostatic hypoten-
sion?
A. The client's heart rate increases by 10/min.
B. The client's systolic blood pressure decreases by 25 mm Hg.
C. The client's diastolic blood pressure increases by 10 mm Hg.
D. The client reports heart palpitations.: B. The client's systolic blood pressure decreases by 25 mm
Hg.
7. A nurse is teaching the guardian of a newborn about car seat safety. Which
of the following statements by the guardian indicates an understanding of the
teaching?
A. "I will position the shoulder harness straps 3 inches above my baby's shoul-
ders."
B. "I will position my baby at a 45-degree angle in the car seat."
C. "I will turn the car seat forward facing when my baby is 1 year old."
D. "I will place the retainer clip on my baby's upper abdomen.": B. "I will position my
baby at a 45-degree angle in the car seat."
, ATI Capstone Proctored Comprehensive Assessment Form B
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8. While a nurse is caring for a client who is receiving mechanical ventilation via
an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which
of the following actions should the nurse take?
A. Request insertion of a tracheostomy tube.
B. Suction the client's airway.
C. Tighten the tubing connections.
D. Look for a leak in the tube's cuff.: B. Suction the client's airway.
9. A nurse is assisting in the selection of foods for a client who has dysphagia
caused by a stroke. Which of the following foods should the nurse recom-
mend?
A. Peanut butter
B. Crispy rice bar
C. Scrambled eggs
D. Soda crackers: C. Scrambled eggs
10. A nurse is preparing to insert an indwelling urinary catheter for a client.
Which of the following actions should the nurse take first?
A. Lubricate the catheter with water-soluble gel.
B. Position the sterile drape leaving the perineum exposed.
C. Cleanse the client's meatus with antiseptic solution.
D. Attach a prefilled syringe to the catheter inflation hub.: C. Cleanse the client's meatus
with antiseptic solution.
11. A nurse is monitoring a client who is receiving a transfusion of packed RBCs.
The client reports chills, headache, low-back pain, and a feeling of "tightness"
in their chest. The nurse should identify that the client has developed which of
the following types of transfusion reactions?
A. Acute hemolytic
B. Allergic