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ATI RN CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT 2025 EXAM
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective? - CORRECT ANSWER>>Hemoglobin 14.9 g/dL A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? - CORRECT ANSWER>>A middle adult client who has unstable vital signs A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? - CORRECT ANSWER>>Measure the client's daily weight. 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 198 lb. What is the amount in grams the nurse should administer? - CORRECT ANSWER>> 18 g 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? - CORRECT ANSWER>>D https://prnt.sc/117izgs A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect? - CORRECT ANSWER>>Tremors A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? - CORRECT ANSWER>>Nuchal rigidity A nurse is assessing a newborn's heart rate. Which of the following actions
should the nurse take? - CORRECT ANSWER>>Auscultate the apical pulse at least 1 min. 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? - CORRECT ANSWER>>Instruct the client to avoid coughing during the procedure. A nurse in the emergency department 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? - CORRECT ANSWER>>The child exhibits discomfort while walking. A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet? - CORRECT ANSWER>>Fiber 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? - CORRECT ANSWER>>Turn off the CPM machine during mealtime. 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 this client? - CORRECT ANSWER>>Radial vein of the inner arm A nurse is developing an education program about osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis? - CORRECT ANSWER>>Sedentary lifestyle A nurse in the emergency department 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? - CORRECT ANSWER>>Initiate
following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? - CORRECT ANSWER>>Irrigate the catheter with 0.9% sodium chloride irrigation. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? - CORRECT ANSWER>>pH 7. 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? - CORRECT ANSWER>>Abdominal bloating A nurse is caring for a client who has active tuberculosis (TB). Which of the following actions should the nurse plan to take to prevent the transmission of the disease? - CORRECT ANSWER>>Have the client wear a surgical mask while being transported outside the room. A nurse is caring for a group of clients. Which of the following clients should the nurse attend to first? - CORRECT ANSWER>>An older adult client who is anxious and attempting to pull out an IV line An RN is observing a licensed practical nurse (LPN) and an assistive personnel (AP) move a client up in bed. For which of the following situations should the nurse intervene? - CORRECT ANSWER>>The LPN and the AP grasp the client under his arms to lift him up in bed. A nurse is preparing to administer insulin to a client via a pen device. Which of the following actions should the nurse take? - CORRECT ANSWER>>Hold the insulin pen device perpendicular to the client's skin to inject the medication. A nurse is caring for a client who has immunosuppression and a
continuous IV infusion. Which of the following actions should the nurse take? - CORRECT ANSWER>>Monitor the client's mouth every 8 hr. A nurse is providing teaching about advanced directives to a middle adult client. Which of the following client responses indicates an understanding of the teaching? - CORRECT ANSWER>>"I can designate my partner as my health care surrogate." 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? - CORRECT ANSWER>>Oxytocin 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? - CORRECT ANSWER>>Seeks input from the other nurses 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? - CORRECT ANSWER>>Noting the progress of the group toward assigned goals 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? - CORRECT ANSWER>>Administer high-dose antibiotic therapy. 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. - CORRECT ANSWER>>Use a protective cover on the scale when weighing the infant. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? - CORRECT ANSWER>>Assist with
A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative following the placement of a ventriculoperitoneal (VP) shunt. Which of the following findings should the nurse report tot he provider? - CORRECT ANSWER>>Irritability when being held A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following findings should the nurse identify as an indication that the medication is effective? - CORRECT ANSWER>>Decreased hallucinations A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER>>"Notify your provider if you experience increased thirst." A nurse is caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool?
- CORRECT ANSWER>>Insert a lubricated gloved finger and advance along the rectal wall. A nurse is planning to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP? - CORRECT ANSWER>>Perform gastrostomy feedings through a client's established gastrostomy tube. A nurse manager is preparing an educational session for nursing staff about how to provide cost-effective care. Which of the following methods should the nurse include in the teaching? - CORRECT ANSWER>>Delegate non nursing tasks to ancillary staff. A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations should the nurse identify as an
indication for potential violence? - CORRECT ANSWER>>The client is pacing around the chair in which their partner is sitting. A nurse is caring for a client who has signed an informed consent form to receive electroconvulsive therapy (ECT). The client states to the nurse, "I'm not sure about this now. I'm afraid it's too risky." Which of the following responses should the nurse make? - CORRECT ANSWER>>"You have the right to change your mind about this procedure at any time." A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services date for this minority group, the nurse should gather information from which of the following sources? - CORRECT ANSWER>>Agency for Healthcare Research and Quality A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER>>Nasal flaring A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation? - CORRECT ANSWER>>Ask the partner to list specific concerns. A nurse is providing information to a client immediately before his scheduled Romberg test. Which of the following statements should the nurse make? - CORRECT ANSWER>>"I will be checking you once with your eyes open and once with them closed." A nurse is teaching a client who is at 20 weeks gestation about common discomforts associated with pregnancy. Which of the following statements indicates an understanding of the teaching? - CORRECT ANSWER>>"I will wear a
of the following statements should the charge nurse make to address this conflict? - CORRECT ANSWER>>"I would like to talk to you about the unit policies regarding break time." A nurse in the emergency department is caring for a client who is at 9 weeks gestation and reports nausea and vomiting for the past 2 days. Which of the following findings should the nurse expect? - CORRECT ANSWER>>Urine specific gravity 1. A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates that the client needs additional nutrients added to the feeding? - CORRECT ANSWER>>Albumin 2.8 g/dL A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client is an example of altruism. - CORRECT ANSWER>>"I told my doctor that I would like to start a support group for other women who are sick in my community." A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of the following food recommendations should the nurse make? - CORRECT ANSWER>>Broccoli Yogurt Cream cheese A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect? - CORRECT ANSWER>>Edema A nurse is providing discharge teaching about disease management for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following activities is the nurse's priority? - CORRECT ANSWER>>Ensure that the client understands the medication regimen.
A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye. Which of the following reports by the client should indicate to the nurse that the client has a detached retina? - CORRECT ANSWER>>Floating dark spots A nurse on a medical-surgical unit is assessing a client who has had a stroke. For which of the following findings should the nurse initiate a referral for occupational therapy? - CORRECT ANSWER>>Difficulty performing ADLs A nurse is assessing a client following a colonoscopy. Which of the following findings should indicate to the nurse that the client is hemorrhaging? - CORRECT ANSWER>>Rapid decrease in blood pressure A nurse is caring for a client who recently signed an informed consent form to donate a kidney to her sibling who has end-stage kidney disease. The donor states to the nurse, "I don't want my brother to die, but what if I need this kidney one day?" Which of the following responses should the nurse make? - CORRECT ANSWER>>"You're afraid that your other kidney will fail at some point after the organ donation." A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect? - CORRECT ANSWER>>Pink, frothy sputum A nurse administers an incorrect dose of a medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record? - CORRECT ANSWER>>Time the mediation was given A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports
findings should the nurse expect? - CORRECT ANSWER>>Occlusive dressing on the insertion site A nurse is preparing to transfer a client who has had a stroke to a rehabilitation facility. The client's family tells the nurse they are concerned about the level of care the client will receive. Which of the following actions should the nurse take? - CORRECT ANSWER>>Facilitate an interdisciplinary conference at the new facility for the family. A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? - CORRECT ANSWER>>Blurred vision A charge nurse is providing an educational session about infection control for a group of staff nurses. Which of the following statements by one of the staff nurses indicates an understanding of isolation precautions? - CORRECT ANSWER>>"A client who requires airborne precautions should be placed in a negative-pressure airflow room." A nurse is preparing to administer a blood transfusion to a client. Which of the following procedures should the nurse follow to ensure proper client identification? - CORRECT ANSWER>>Verify the client and blood product information with another licensed nurse. A nurse in a mental health clinic is assessing a client who has a history of seeking counseling for relationship problems. The client shows the nurse multiple superficial self-inflicted lacerations on their forearms. The nurse should identify these behaviors as characteristics of which of the following personality disorders? - CORRECT ANSWER>>Borderline A nurse is caring for a client who has type 1 diabetes mellitus and reports sever ankle pain after falling off a stepstool at home. Which of the following
prescriptions should the nurse clarify with the provider? - CORRECT ANSWER>>Apply a cold pack to the client's ankle for 30 min every hour. A nurse is teaching about adverse effects with a client who is staring to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider? - CORRECT ANSWER>>Cough A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and HCO3- of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances? - CORRECT ANSWER>>Respiratory acidosis A nurse in a provider's office is assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for an adverse effect of this medication? - CORRECT ANSWER>>"Have you had any stomach pain or bloody stools?" A nurse on a pediatric unit has received change-of-shift report for four children. Which of the following children should the nurse assess first? - CORRECT ANSWER>>A 10-year-old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain. A nurse on an inpatient unit is caring for a client who has schizophrenia and recently started taking risperidone. Which of the following actions should the nurse take? - CORRECT ANSWER>>***Implement fall precautions for the client. A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse should identify that which of the following physiological changes is the cause for the client's visual loss? -
management process should the nurse manager include as the priority? - CORRECT ANSWER>>Making a list of activities to complete A nurse is caring for a client who has a pulmonary embolism. The client is receiving heparin continuous IV infusion at 1,200 units/hr and warfarin 5 mg PO daily. The morning laboratory values for the client are aPTT 98 seconds and INR 1.8. Which of the following actions should the nurse take? - CORRECT ANSWER>>Withhold the heparin infusion. A nurse is providing teaching to a school-age child who has asthma about using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include? - CORRECT ANSWER>>Take the medication 15 min before playing sports. A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?
- CORRECT ANSWER>>"My child has only a small amount of mucus after percussion therapy." A nurse is planning care for a client who is receiving chemotherapy and has neutropenia. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWER>>Avoid including raw fruits in the client's diet. A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. Which of the following assessments is the nurse's priority? - CORRECT ANSWER>>Amount of vaginal bleeding A nurse is caring for a client who is in the resuscitation phase of burn injury. Which of the following findings should the nurse expect? -
CORRECT ANSWER>>Hyponatremia A nurse is teaching a client who has a new prescription of total parenteral nutrition though a central line. Which of the following information should the nurse include in the teaching? - CORRECT ANSWER>>"I will need to measure your weight daily." A nurse is assessing a client who has bipolar disorder. Which of the following alterations in speech is the client using? - CORRECT ANSWER>>Flight of ideas A home health nurse is caring for a group of older adult clients. The nurse should initiate a referral to the Program of All-Inclusive Care for the Elderly (PACE) for which of the following clients? - CORRECT ANSWER>>A client whose caregiver requests adult day care services A nurse at a mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is using dissociation as a defense mechanism? - CORRECT ANSWER>>A client who was abused as a child describes the abuse as if it happened to someone else. A nurse is caring for a client who has active pulmonary tuberculosis. Which of the following actions should the nurse take? - CORRECT ANSWER>>Assign the client to a private room with negative air pressure. A nurse is providing teaching to a client who is at 24 weeks gestation and is scheduled for a 3-hr oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER>>"You will need to fast the night before the test." A nurse is providing education to the parent of a school-age child who has asthma. Which of the following statements by the parent indicates an understanding of the teaching? - CORRECT ANSWER>>"I will make sure my child
A nurse is providing teaching about home care to the parents of a child who has autism spectrum disorder. Which of the following instructions should the nurse include? - CORRECT ANSWER>>Use a reward system to modify the child's behavior. A nurse in a provider's office is caring for an 18-month-old toddler who has a blood lead level of 3 mcg/dL. Which of the following actions should the nurse take? - CORRECT ANSWER>>Recommend rescreening in 1 year. A nurse is caring for a client who has cancer and is deciding between two treatment plans. The client asks the nurse for assistance in making the decision. Which of the following responses should the nurse make? - CORRECT ANSWER>>"Tell me more about your understanding of the options." A nurse is caring for a client who has a new prescription for clonidine. The nurse should inform the client that which of the following findings is an adverse effect of this medication? - CORRECT ANSWER>>Dry mouth A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWER>>Support the client's left arm on a pillow while sitting. A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save their life. Which of the following actions should the nurse take first? - CORRECT ANSWER>>Explore the client's reasons for refusing the treatment. A nurse is performing an abdominal assessment on a client. Identify the sequence of actions the nurse should take. - CORRECT ANSWER>>1. Inspection
- Auscultation
- Percussion
- Palpation A nurse is providing teaching to the guardians of a newborn about measures to prevent sudden infant death syndrome (SIDS). Which of the following guardian statements indicates an understanding of the teaching?
- CORRECT ANSWER>>"I will not allow anyone to smoke near my baby." A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical aseptic technique? - CORRECT ANSWER>>Maintain sterile objects within the line of vision. A nurse is caring for a client who has a magnesium level of 2.7 mEq/L. Which of the following interventions should the nurse plan to take? - CORRECT ANSWER>>Initiate continuous cardiac monitoring. 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? - CORRECT ANSWER>>The client reports a decrease in episodes of nausea. A nurse is caring for a client who has a deep-vein thrombosis. Which of the following actions should the nurse take? - CORRECT ANSWER>>Instruct the client to elevate the affected extremity when sitting. A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hr of use. After the nurse opens the packet containing the new patch, the client declines to accept it. Which of the following actions should the nurse take? - CORRECT ANSWER>>Ask another nurse to witness the disposal of the new patch. A nurse is assessing an older adult client who has pneumonia. Which of the following findings should the nurse expect? - CORRECT ANSWER>>Acute
