YOU STAND!"
RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT |
NURSING CARE SCENARIOS|160 QUESTIONS
1. A client with heart failure reports increased urination and a weight loss of 5
pounds over the past week after starting furosemide. What should the
nurse assess next?
The client's blood pressure and electrolyte levels.
The client's dietary intake and fluid restrictions.
The client's level of physical activity and exercise routine.
The client's understanding of heart failure management.
2. In a scenario where a client is agitated and refuses to follow instructions,
what should the nurse do after speaking in a low, calm voice and the client
remains uncooperative?
Immediately call for security to restrain the client.
Attempt to negotiate with the client to understand their concerns.
Leave the client alone to calm down without further intervention.
Instruct other staff members to ignore the client until they comply.
3. Education for a patient 12 weeks gestation with frequent nausea and
vomiting. What nursing education should be provided?
Eat dry foods that are high in carbohydrates when you wake up
Brush your teeth right after you eat
Eat foods served at warm temperatures
Eat sweet foods when nauseated
4. A client has a tracheostomy tube. The nurse knows that the obturator is
,kept at the client's bedside because:
he obturator is kept at the client's bedside in case the tube becomes
dislodged and needs to be reinserted
, the obturator is a guide in inserting the tube
the obturator, after insertion, will be kept by the client
the obturator will be used to make an opening for the tube
5. A nurse is assisting with the plan of care for a child who is 12 hr
postoperative following a ruptured appendix with peritonitis. Which of the
following actions should the nurse include in the plan of care?
Offer clear liquids
Initiate contact isolation.
Maintain strict bed rest.
Give pain medications on a schedule.
6. Which physical findings will the nurse observe in a client with Bulimia
Nervosa?
Enlarged parotid glands, dental erosion.
Lanugo on face and back.
Mottled, cool skin on extremities.
Low blood pressure and pulse.
7. A nurse is collecting data from a client who is at 35 weeks gestation. Which
of the following findings should the nurse report to the provider?
Leg cramps
Blurred vision
Urinary frequency
Gingivitis
8. A nurse is caring for a client receiving O2 via nasal cannula. Which action
should the nurse implement?
adjust the tubing firmly under the chin
, adjust the flow meter to the ordered O2 flow rate
alternate the position of the pronges curving upward versus downward
every 2 hours
ensure hygeine includes applying an oil-based lubricant to the client's
nares
9. An older adult wants to take ginkgo biloba, valsartan (Diovan), and
hydrochlorothiazide for hypertension. He also takes an aspirin daily. Which
of the following statements best reflects the advice his nurse should give
him?
"Ginkgo biloba may cause postprandial hypotension in older adults."
"Ginkgo biloba has the potential to interact with hydrochlorothiazide."
"Ginkgo biloba can interact with valsartan, reducing its effectiveness."
"Ginkgo biloba taken with aspirin can potentially cause a drug
interaction."
10. Explain why it is important for a nurse to reset their expired password
before accessing a client's electronic medical record.
To ensure compliance with hospital policies and maintain patient
confidentiality.
To allow other nurses to assist in data entry without restrictions.
To expedite the process of entering patient data.
To avoid having to remember multiple passwords.
11. The nurse is caring for a client hospitalized with bipolar disorder, manic
phase. Which of the following snacks would be best for the client with
mania?
Potato chips
Diet cola
Apple