RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019 FORM A /GRADE A+ ASSURED

A nurse is teaching a client who has a new prescription for metformin extended release
tablets. Which of the following statements by the client indicates an understanding of
the teaching?
I will avoid crushing this medication
I'll switch to a lactose-free formula
Correct answer- I will avoid crushing this medication
A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client
has developed hyperosmolar dehydration. Which of the following actions should the
nurse take when administering the client's findings?
Empty your ostomy pouch when it is half full
Switch to a lactose-free formula.
Correct answer- Switch to a lactose-free formula.
A nurse is teaching the parents of a school-age child who has sickle cell anemia about
managing the disease at home which of the following instructions should the nurse
include?
Apply cold compresses too painful areas
I should boil tap water for 2 minutes and call it before I mix it with powdered formula
Correct answer- Apply cold compresses too painful areas
A nurse is teaching about Safe Handling of formula to a client who is postpartum and
chooses to bottle feed her newborn. Which of the following statements by the client
indicates an understanding of the teaching?
I should boil tap water for 2 minutes before I mix it with powdered formula
I should use sterile water when I mix it with powdered formula
Correct answer- I should boil tap water for 2 minutes before I mix it with powdered
formula
A nurse is assessing a child who is post-operative following a tonsillectomy. Which of
the following findings should the nurse identify as the priority?
During this test, I will punch a button if the baby moves
Frequent swallowing
Correct answer- Frequent swallowing
A nurse is teaching a client who is pregnant about non-stress testing. Which of the
following statements by the client indicates an understanding of the teaching?
During this test, I will punch a button if the baby moves
During this test, I will punch a button if I feel stressed
Correct answer- During this test, I will punch a button if the baby moves
A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client
reports chills, headaches, low back pain, and a feeling of tightness in his chest. The
nurse should identify that the client has developed which of the following types of
transfusion reactions?
Pudendal nerve block
Acute hemolytic
Correct answer- Acute hemolytic
A nurse is caring for a client who is in the latent phase of Labor and reports severe back
pain. The vaginal examination reveals that the cervix is dilated two centimeters, 25%
effaced and -2 station. Which of the following interventions should the nurse implement?
You should wear a snug fitting bra continuously for 72 hours
Request the provider prescribe a pudendal nerve block
Correct answer- Request the provider prescribe a pudendal nerve block
A nurse is teaching about how to suppress lactation with a client who is postpartum and
bottle feeding her newborn. Which of the following instructions should the nurse include
in the teaching?
You should wear a snug fitting bra continuously for 72 hours
Room number
Correct answer- You should wear a snug fitting bra continuously for 72 hours
A nurse is preparing to administer medication to a client. What are the following
identifiers should the nurse use to identify the client?
Room number
MRN
Correct answer- Room number
A nurse is caring for a client who is taking antihypertensive medication and is moving
from a supine to a seated position. Which of the following findings should indicate to the
nurse that the client is experiencing orthostatic hypotension?
The clients systolic blood pressure decreases by 25 mmHg
The clients systolic blood pressure increases by 35 mmHg
Correct answer- The clients systolic blood pressure decreases by 25 mmHg
While a nurse is caring for a client who is receiving mechanical ventilation via an
endotracheal tube, the high-pressure alarm of the ventilator sounds. Which of the
following actions should the nurse take?
Look for a block in the tubes cuff
Look for a leak in the tubes cuff
Correct answer- Look for a leak in the tubes cuff
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the
following actions should the nurse take first?
Monitor Vital Signs every hour throughout the transfusion
Position the sterile drape leaving the perineum exposed
Correct answer- Position the sterile drape leaving the perineum exposed
A nurse is planning to administer packed RBC's to an older adult client who has a low
hemoglobin level. Which of the following actions should the nurse plan to take?
Monitor Vital Signs every hour throughout the transfusion
Monitor RR every hour throughout the transfusion
Correct answer- Monitor Vital Signs every hour throughout the transfusion
A new nurse in an acute mental health facility is teaching a client about potential
adverse effects of transcranial magnetic stimulation. The nurse tells the client that he
might feel light-headed but that it should not affect his memory. The nurse is
demonstrating which of the following ethical principles?
Beneficence
Restrictive
Correct answer- Beneficence
A nurse is teaching a class about providing care within the legal scope of practice to a
group of nurses. The nurse should include that which of the following procedures is
outside the legal scope of practice for an RN?
Irrigation of the external ear canal
Irrigation of the inferior ear canal
Correct answer- Irrigation of the external ear canal
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During
the first week of care, which of the following actions should the nurse take?
Observe the client for 1 hour after meals
Observe the client for 6 hours after meals
Correct answer- Observe the client for 1 hour after meals
A nurse is planning care for a client who has sciatica and a prescription for a
transcutaneous electrical nerve stimulation (TENS) unit. Which of the following referral
should the nurse anticipate for the client?
Primary Care Provider
Physical therapist
Correct answer- Physical therapis