Page 1 of 58
ATI CAPSTONE ASSESSMENT B EXAM|| REAL EXAM
ALL QUESTIONS AND 100% CORRECT ANSWERS
WITH A GUARANTEED A+|| LATEST AND COMPLETE
UPDATE 2025 WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of
the following actions is the priority?
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection C
The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to assist the client with deep breathing and
coughing, which reduces the risk for postoperative pneumonia.
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism?
A. I have experienced physical discomfort when intimate with my partner since
my diagnosis
B. I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support group for other women
who are sick in my community
D. I used to mistrust my doctor, but now I know that she is the best one to care
for me during my illness
,Page 2 of 58
C
This statement indicates that the client is using the constructive defense mechanism
sublimation by devising a socially acceptable alternative to facing a reality that she
does not wish to accept.
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?
A. Assess the clients IV site every 8 hours
B. Check the clients WBC count every 48 hours
C. Monitor the clients mouth every 8 hours
D. Change the clients IV tubing every 48 hours C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
Which of
the following areas should the nurse assess for manifestations of HD?
A. Eyes area
B. Chest area
C. Lower abdominal area C
Hirschsprung disease is a condition that affects the large intestine (colon) and
causes problems with passing stool. This is present at birth (congenital) as a result
of missing nerve cells in the muscle of the baby's colon
,Page 3 of 58
A nurse is providing information to a client immediately before his scheduled
Romberg test. Which of the following statements should the nurse make?
A. "You will be standing with your feet 1 foot apart"
B. "You will place and hold your hands on your hips"
C. "I will be standing across the room from you to evaluate your sense of
balance"
D. "I will be checking you once with your eyes open and once with them
closed" D
The Romberg test is a test of the body's sense of positioning (proprioception),
which requires healthy functioning of the dorsal columns of the spinal cord. The
Romberg test is used to investigate the cause of loss of motor coordination (ataxia)
The test is performed as follows:
The patient is asked to remove his shoes and stand with his two feet together. ...
The clinician asks the patient to first stand quietly with eyes open, and
subsequently
with eyes closed. ...
The Romberg test is scored by counting the seconds the patient is able to stand
with eyes closed.
A nurse is assessing a client who is at 11 weeks of gestation and reports drinking
ginger tea. Which of the following findings indicates the client's use of ginger tea
is effective?
A. The client reports a decrease in episodes of nausea
B. The client reports a decrease in breast tenderness
C. The client reports a decrease in headaches
D. The client reports a decrease in urinary frequency A
, Page 4 of 58
A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative
following placenta of a VP shunt. Which of the following findings should the nurse
report to the provider?
A. Heart rate 122/min
B. Irritability when being held
C. Hypoactive bowel sounds
D. Urine specific gravity 1.018 B
A client is receiving IV fluids at 150 mL/hr. Which of the following findings
indicates that the client is experiencing fluid overload?
A. Oliguria
B. Bradycardia
C. Dyspnea
D. Poor skin turgor C
Fluid overload would present as increased urinary output (oliguria= small urine
output), dyspnea/ shortness of breath caused by extra fluid entering your lungs and
reducing your ability to breathe normally, we could see a high or low HR (usually
a bounding pulse), and edema (poor skin turgor is seen with dehydration/
hypovolemia)
A nurse in an emergency department is caring for a client who is at 9 weeks of
gestation and reports nausea and vomiting for the past 2 days. Which of the
following findings should the nurse expect?
A. Hgb 15 g/dL
B. Urine specific gravity 1.052
C. Urine osmolarity 300 mOsm/ kg
ATI CAPSTONE ASSESSMENT B EXAM|| REAL EXAM
ALL QUESTIONS AND 100% CORRECT ANSWERS
WITH A GUARANTEED A+|| LATEST AND COMPLETE
UPDATE 2025 WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of
the following actions is the priority?
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection C
The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to assist the client with deep breathing and
coughing, which reduces the risk for postoperative pneumonia.
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism?
A. I have experienced physical discomfort when intimate with my partner since
my diagnosis
B. I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support group for other women
who are sick in my community
D. I used to mistrust my doctor, but now I know that she is the best one to care
for me during my illness
,Page 2 of 58
C
This statement indicates that the client is using the constructive defense mechanism
sublimation by devising a socially acceptable alternative to facing a reality that she
does not wish to accept.
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take?
A. Assess the clients IV site every 8 hours
B. Check the clients WBC count every 48 hours
C. Monitor the clients mouth every 8 hours
D. Change the clients IV tubing every 48 hours C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
Which of
the following areas should the nurse assess for manifestations of HD?
A. Eyes area
B. Chest area
C. Lower abdominal area C
Hirschsprung disease is a condition that affects the large intestine (colon) and
causes problems with passing stool. This is present at birth (congenital) as a result
of missing nerve cells in the muscle of the baby's colon
,Page 3 of 58
A nurse is providing information to a client immediately before his scheduled
Romberg test. Which of the following statements should the nurse make?
A. "You will be standing with your feet 1 foot apart"
B. "You will place and hold your hands on your hips"
C. "I will be standing across the room from you to evaluate your sense of
balance"
D. "I will be checking you once with your eyes open and once with them
closed" D
The Romberg test is a test of the body's sense of positioning (proprioception),
which requires healthy functioning of the dorsal columns of the spinal cord. The
Romberg test is used to investigate the cause of loss of motor coordination (ataxia)
The test is performed as follows:
The patient is asked to remove his shoes and stand with his two feet together. ...
The clinician asks the patient to first stand quietly with eyes open, and
subsequently
with eyes closed. ...
The Romberg test is scored by counting the seconds the patient is able to stand
with eyes closed.
A nurse is assessing a client who is at 11 weeks of gestation and reports drinking
ginger tea. Which of the following findings indicates the client's use of ginger tea
is effective?
A. The client reports a decrease in episodes of nausea
B. The client reports a decrease in breast tenderness
C. The client reports a decrease in headaches
D. The client reports a decrease in urinary frequency A
, Page 4 of 58
A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative
following placenta of a VP shunt. Which of the following findings should the nurse
report to the provider?
A. Heart rate 122/min
B. Irritability when being held
C. Hypoactive bowel sounds
D. Urine specific gravity 1.018 B
A client is receiving IV fluids at 150 mL/hr. Which of the following findings
indicates that the client is experiencing fluid overload?
A. Oliguria
B. Bradycardia
C. Dyspnea
D. Poor skin turgor C
Fluid overload would present as increased urinary output (oliguria= small urine
output), dyspnea/ shortness of breath caused by extra fluid entering your lungs and
reducing your ability to breathe normally, we could see a high or low HR (usually
a bounding pulse), and edema (poor skin turgor is seen with dehydration/
hypovolemia)
A nurse in an emergency department is caring for a client who is at 9 weeks of
gestation and reports nausea and vomiting for the past 2 days. Which of the
following findings should the nurse expect?
A. Hgb 15 g/dL
B. Urine specific gravity 1.052
C. Urine osmolarity 300 mOsm/ kg
