RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019 FORM B WITH COMPLETE SOLUTIONS/GRADE A+ ASSURED

A nurse is assessing a client who received 2 units of packed RBCs 48 hours
ago. Which of the following findings should indicate to the nurse that the therapy
has been effective?
Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a
decreased level of hemoglobin or hematocrit. This hemoglobin level is within the
expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,
2 .A nurse working in a n emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend
priority treatment for the client who has unstable vital signs because this client requires
3. A nurse is caring for a client who has fluid volume overload. Which of the
following tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse
should delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a
test dose to a client who has severe oliguria. The client weighs 198lb. What is the
amount in grams the nurse should administer?
18 g
5. A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
Tremors
immediate treatment to reduce the risk of further injury or possible death.
indicating the therapy has been effective.
inflammation.
RN ATI capstone proctored comprehensive assessment
2019 B | ATI Comprehensive Practice Test B (Best
study guide version with complete solution)
2
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,
weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial meningitis. Which
of the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the following actions
should the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart
rate and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of
the rapid rate and the transmission of respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration. The
nurse should identify which of the following findings as a potential indication of
child sexual abuse?
The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual abuse.
11. A nurse is preparing to teach about dietary management to a client who has
Crohn’s disease and an entero enteric fistula. Which of the following nutrients
should the nurse instruct the client to decrease in their diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
12. A nurse is caring for a client who has a prescription for a continuous passive
motion (CPM) machine following a total knee arthroplasty. Which of the
following actions should the nurse take?
Turn off the CPM machine during mealtime.
This promotes client comfort and dietary intake.
RN ATI capstone proctored comprehensive assessment
2019 B | ATI Comprehensive Practice Test B (Best
study guide version with complete solution)
3
13. A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for the client?
Radial vein of the inner arm.
This site will have adequate subcutaneous tissue
14. A nurse is developing a client education program a bout osteoporosis for
older adult clients. The nurse should include which of the following variables as a
risk factor for osteoporosis?
Sedentary lifestyle.
This is a risk factor for osteoporosis. The nurse should encourage older adult clients to
engage in weight-bearing exercises because they will promote bone health by increasing
calcium and phosphorus levels.
15. A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles
on the trunk and extremities. Which of the following interventions should the
nurse identify as the priority?
Initiate transmission-based precautions
When using the urgent versus nonurgent approach to client care, the nurse should
determine that the priority action is to initiate transmission-based precautions for the
child. The child most likely has varicella. Therefore, the nurse should isolate the child to
prevent the spread of the infection.
16. A nurse is caring for a client who has a clogged percutaneous gastrostomy
feeding tube. Which of the following actions should the nurse take first?
Change the position of the client.
When providing client care, the nurse should use the least restrictive intervention first.
Therefore, the nurse should reposition the client to remove any kinks in the tube, which
can lead to clogging. If this method is unsuccessful, the nurse should attempt to flush or
aspirate the client’s tube to remove the clog.
17. A home health care nurse is developing a teaching plan for a client who has a
new ileostomy.
Which of the following instructions should the nurse include?
Empty the appliance when it is one-third to one-half full.
The ileostomy pouch should be emptied when it is one-third to one-half full to prevent
stool leakage and skin irritation.
RN ATI capstone proctored comprehensive assessment
2019 B | ATI Comprehensive Practice Test B (Best
study guide version with complete solution)
4
18. A nurse is reviewing the laboratory report of a client who has end-stage
kidney disease and received hemodialysis 24 yr ago. Which of the following lab
values should the nurse report to the provider?
Sodium 148 mEq/L
The nurse should report this sodium level because it is a bove the expected reference
range of 136 to 145 mEq/L, indicating hypernatremia. Clients who have kidney disease
often retain sodium and require sodium-restricted diets.
19. A nurse is caring for four clients. Which of the following tasks should the
nurse delegate to a
CNA?
Arrange the lunch tray for a client who has a hip fracture.
Assisting a client with meals is within the range of function of the CNA.
20. A nurse is preparing a client for a paracentesis. Which of the following
actions should the nurse take?
Instruct the client to void.
The nurse should instruct the client to void prior to the procedure because an empty
bladder decreases the risk of a bladder puncture and minimizes the client’s discomfort
during the procedure.
21. A nurse has received change of shift report on four assigned clients. For
which of the following clients should the nurse intervene to prevent a potential
food and medication interaction?
A client who is receiving an MAOI and is requesting a cheeseburger for dinner. This
client’s food selection contains tyramine. Clients prescribed an MAOI must restrict the
22. A nurse is planning care for a client who has rheumatoid arthritis and has
moderate to severe pain in multiple joints. Which of the following actions should
the nurse plan to take?
Allow for frequent rest periods throughout the day.
The nurse should encourage the client to balance rest with exercise to maintain muscle
strength, joint function, and range of motion.
23. A nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate. The client reports bladder
spasms, and the nurse observes a decreased urinary output. Which of the
following action should the nurse take?
intake of foods that contain tyramine due to adverse effects, such as hypertension.
5
Irrigate the catheter with 0.9% sodium chloride irrigation.
Decreased urine output and bladder spasms indicate internal obstruction of the catheter.
Therefore, the nurse should irrigate the catheter with 0.9% sodium chloride irrigation and
notify the provider if the obstruction does not clear.
24. A nurse is assessing a client who has COPD. Which of the following findings
should the nurse expect?
pH 7.31
Respiratory acidosis is an expected finding for a client who has COPD. The expected
reference range of pH is 7.35-7.45. A pH level of less than 7.35 indicates acidosis. For a
client who has COPD, a decrease in pH will be accompanied by an increase in the level
of carbon dioxide over the expected reference range of 35 to 45 mm Hg, indicating
respiratory acidosis.
25. A nurse in a community center is providing an educational session to a group
of clients about ovarian cancer. Which of the following manifestations of ovarian
cancer should the nurse include in the teaching?
Abdominal bloating
The nurse should include the presence of abdominal bloating as an early manifestation
of ovarian cancer. Other manifestations include an increase in abdominal girth, pelvic or
abdominal pain, early satiety, and urinary frequency or urgency.
26. A nurse is caring for a client who has active TB. Which of the following
actions should the nurse plan to take to prevent the transmission of the disease?
Have the client wear a surgical mask while being transported outside the room. This
will prevent the transmission of the disease.
27. A nurse is caring for a group of clients. Which of the following clients should
the nurse attend to first?
An older adult client who is anxious and attempting to pull out an IV line. This
client is at greater risk of injury.
28. An RN is observing an LPN and a CNA move a client up in bed. For which of
the following situations should the nurse intervene?
The LPN and the CNA grasp the client under his arms to lift him up in bed. They should
not grasp the client under the arms when lifting, as this can result in shoulder
dislocation or other injuries to the client. The RN should intervene and instruct the
nurses to use a draw sheet or friction-reducing device to lift the client.
6
RN ATI capstone proctored comprehensive assessment
2019 B | ATI Comprehensive Practice Test B (Best
study guide version with complete solution)
29. A nurse is preparing to administer insulin to a client via a pen device. Which
of the following actions should the nurse take?
Hold the insulin pen device perpendicular to the client’s skin to inject the medication.
This ensures the insulin enters the subcutaneous tissue.
30. A nurse is caring for a client who has immunosuppression and a continuous
IV infusion. Which of the following actions should the nurse take?
Monitor the client’s mouth every 8 hr.
Check for manifestations of infection, such as sores or lesions.
31. A nurse is providing teaching about advance directives to a middle-aged adult
client. Which of the following client responses indicates an understanding of the
teaching?
“I can designate my partner as my health care surrogate.”
This statement indicates that the client recognizes that designating a health care
surrogate is part of advance directives.
32. A nurse is assessing a client following a vaginal delivery and notes heavy
lochia and a boggy fundus. Which of the following medications should the nurse
expect to administer?
Oxytocin
This is a hormone that stimulates uterine contractions, to decrease vaginal bleeding.
33. A nurse manager is planning to use a democratic leadership style with the
nurses on the unit. Which of the following actions by the nurse manager
demonstrates a democratic leadership style?
Seeks input from the other nurses.
This includes members of the team when making decisions and encourages staff
members to participate in the decision-making process.
34. A nurse is assigning task roles for a group of clients in a community mental
health clinic. Which of the following tasks should the nurse assign to the member
of the group functioning as the orienteer?
Noting the progress of the group toward assigned goals. This
is the task of the orienteer.
35. A nurse is creating a plan of care for a newly admitted child. Which of
the following actions should the nurse include in the plan? See Exhibit
button Administer high-dose antibiotic therapy.
RN ATI capstone proctored comprehensive assessment
2019 B | ATI Comprehensive Practice Test B (Best
study guide version with complete solution)
7
Children who have cystic fibrosis metabolize antibiotics more rapidly and require higher
doses of antibiotics to help fight aggressive infections such as Burkholderia cepacia.
36. A nurse is caring for a newborn immediately after delivery. Which of the
following interventions should the nurse implement to prevent heat loss by
conduction?
Use a protective cover on the scale when weighing the infant.
Heat loss by conduction is a loss of heat between the newborn’s skin and the cooler
surface beneath it.
37. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of
the following actions is the nurse’s priority?
Assist with deep breathing and coughing.
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 of postop pneumonia.
38. A nurse in an outpatient mental health clinic is caring for four clients. The
nurse should recognize that which of the following clients is effectively using
sublimation as a defense mechanism?
A client who channels their energy into a new hobby following the loss of their job.
Channeling negative feelings over the loss of their job into a new hobby is using the
defense mechanism of sublimation.
39 .A nurse is assessing f or correct placement of a client’s NG feeding tube prior
to administering a bolus feeding. Which of the following actions should the nurse
take?
Aspirate contents from the tube and verify the pH level.
The nurse should verify that the pH level of the client’s gastric aspirate is less than 5 to
determine proper placement.
40 .An antepartum nurse is caring for four clients. For which of the following
clients should the nurse initiate seizure precautions?
A client who is at 33 weeks gestation and has severe gestational hypertension. The
nurse should initiate seizure precautions for a client who has severe gestational
because extremely elevated blood pressure in an antepartum client can trigger seizure
activity. The nurse should provide the client with a quiet, darkened environment, place
suction equipment and oxygen at the bedside, and position the call light within the
client’s reach.