ATI PN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT NEWEST ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS
FEATURES INCLUDE
VERIFIED ANSWERS
MOST RECENT UPDATE
GRADED A+
, A nurse is assessing the pain level of a client who has dementia and difficulty communicating,
which pain assessment technique should the nurse use? ( CORRECT ANSWER ) -behavioral
indicators
(increased agitation, restlessness)
A nurse receives a report from an assistive personnel that a client's BP is 160/95, what should
the nurse do first? ( CORRECT ANSWER ) -recheck the clients BP
(reassess prior to any intervention)
A nurse is caring for a client who has an indwelling urinary cath, what should the nurse
identify as a cath occlusion? ( CORRECT ANSWER ) -bladder distention
(inability to empty the bladder, impaired elimination)
A nurse is discussing immunity with a client who has received an immunization, the nurse
should identify that an immunization functions as part of which of the following types of
immunity? ( CORRECT ANSWER ) -acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are
ADMINISTERED to a client, once in the body, the stimulate the production of antibodies)
a nurse is reviewing the health history of an OA who has a hip fracture
the nurse should identify what is a risk of developing pressure injuries? ( CORRECT
ANSWER ) -urinary incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor tissue perfusion,
friction and shear, immobility, alterations in sensory perception)
a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red
and there is warmth along the coarse of the vein, what should the nurse do? ( CORRECT
ANSWER ) -d/c the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required,
start new IV)
a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in)
in diameter. which of the following terms should the nurse use to document this finding? (
CORRECT ANSWER ) -macule
(nonpalpable smaller than 1cm, ex: freckle)
a community health nurse is teaching a group of clients about first aid for different types of
wounds. which of the following client statements indicates an understanding of the teaching?
( CORRECT ANSWER ) -i should apply clean dressings over the top of blood saturated
dressings and hold pressure
(to prevent disruption of wound tissue)
ASSESSMENT NEWEST ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS
FEATURES INCLUDE
VERIFIED ANSWERS
MOST RECENT UPDATE
GRADED A+
, A nurse is assessing the pain level of a client who has dementia and difficulty communicating,
which pain assessment technique should the nurse use? ( CORRECT ANSWER ) -behavioral
indicators
(increased agitation, restlessness)
A nurse receives a report from an assistive personnel that a client's BP is 160/95, what should
the nurse do first? ( CORRECT ANSWER ) -recheck the clients BP
(reassess prior to any intervention)
A nurse is caring for a client who has an indwelling urinary cath, what should the nurse
identify as a cath occlusion? ( CORRECT ANSWER ) -bladder distention
(inability to empty the bladder, impaired elimination)
A nurse is discussing immunity with a client who has received an immunization, the nurse
should identify that an immunization functions as part of which of the following types of
immunity? ( CORRECT ANSWER ) -acquired immunity
(artificial/acquired immunity occurs when antigens from toxoids or immunizations are
ADMINISTERED to a client, once in the body, the stimulate the production of antibodies)
a nurse is reviewing the health history of an OA who has a hip fracture
the nurse should identify what is a risk of developing pressure injuries? ( CORRECT
ANSWER ) -urinary incontinence
(r/f skin breakdown--> pressure injury, poor nutrition, infection, poor tissue perfusion,
friction and shear, immobility, alterations in sensory perception)
a nurse is assessing the IV infusion site of a client who reports pain at the site. the site is red
and there is warmth along the coarse of the vein, what should the nurse do? ( CORRECT
ANSWER ) -d/c the infusion
(assessment suggest phlebitis, d/c, apply warm compress//if continued therapy required,
start new IV)
a nurse is caring for an OA who has a nonpalpable skin lesion that is less than 0.5cm (0.2in)
in diameter. which of the following terms should the nurse use to document this finding? (
CORRECT ANSWER ) -macule
(nonpalpable smaller than 1cm, ex: freckle)
a community health nurse is teaching a group of clients about first aid for different types of
wounds. which of the following client statements indicates an understanding of the teaching?
( CORRECT ANSWER ) -i should apply clean dressings over the top of blood saturated
dressings and hold pressure
(to prevent disruption of wound tissue)
