RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT
2023 ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED
ANSWERS|AGRADE
A nurse is teaching a client who has generalized anxiety disorder about ways to
help manage stress. Which of the following instructions should the nurse give the
client about using Progressive relaxation?
Tighten the muscle group, then release tension and move to the next one- ANS
Rest the muscle group, then release tension and move to the next one
Tighten the muscle group, then release tension and move to the next one
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden,
severe abdominal pain with moderate vaginal bleeding and persistent uterine
contraction. The client’s blood pressure is 88 over 50 mmhg and her abdomen is
rigid. The nurse should identify these findings as indicating which of the following
complications?
Placenta discharge
Placenta abruption- ANS
Placenta abruption
A home health nurse is planning care for an older adult client who has a vision loss
and takes medication throughout the day. Which of the following actions should
the nurse include in the plan?
Use container Lids of different shapes to indicate times of Administration- ANS
Use container Lids of different colors to indicate times of Administration
Use container Lids of different shapes to indicate times of Administration
A nurse at an acute care facility is teaching a client about fall risk prevention
strategies for use during their stay at the facility. Which of the following
statements by the client indicates an understanding of the teaching?
I will wear a yellow wristband, so everyone knows I’m at risk for falling- ANS
I will wear call for help, so everyone knows I’m at risk for falling<\/p>\n\n\n\n
I will wear a yellow wristband, so everyone knows I’m at risk for falling
A nurse is caring for a client who is taking disulfiram for alcohol-use disorder and
reports ingestion of alcohol. For which of the following adverse effects should the
nurse monitor?
Headache- ANS
Hypertension
Headache
A nurse at the health department is providing anticipatory guidance to a parent of a
one month or a year-old infant. The nurse should inform the parent that the infant
should receive which of the following immunizations at the age of two months?
C. Diff
Rotavirus- ANS
Rotavirus
A Nurse is assisting in the selection of foods for a client who has dysphagia caused
by a stroke. Which of the following foods should the nurse recommend?
Scrambled eggs- ANS
Fish
Scrambled eggs
A community health nurse is providing education to a group of older adults about
immunizations. Which of the following immunizations should the nurse
recommend?
Tdap- ANS
HIV
Tdap
A nurse is caring for a client who is postoperative following a mitral balloon
valvuloplasty. Which of the following areas should the nurse auscultate to assess
for mitral areas of the heart? (you will find hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.)<\/p>\n\n\n\n
See picture
Mitral
A nurse is planning care for a client who is experiencing benzodiazepine toxicity.
The nurse should plan to administer which of the following medications?
Flumazenil- ANS
Furosemide
Flumazenil
A nurse is admitting a client to the medical-surgical unit. The patient selfdetermination act requires the nurse to perform which of the following actions
during the admission process?
Document in the client’s medical record if a client has advance directives- ANS
Document in the client’s medical record if a client has PCP directives
Document in the client’s medical record if a client has advance directives
A nurse is assessing a client who is postoperative following orthopedic surgery.
Which of the following findings should the nurse identify as an indication of
paralytic Ileus?
Abdominal dissection
Abdominal distension- ANS
Abdominal distension
A nurse is performing an administered admission assessment of a school-age child
who has spina bifida. the parents state that a child is allergic to latex. The nurse
should assess further for cross sensitivity to which of the following Foods?<\/p>\n\n\n\n
Tomatoes
Bananas- ANS
Bananas
A nurse is planning care for a client who is at 32 weeks of gestation and has severe
pre-eclampsia. Which of the following actions should the nurse plan to take?
Ensure that the bed is flat
Ensure that the side rails are up on the client’s bed- ANS
Ensure that the side rails are up on the client’s bed
A nurse is documenting admission data for a client in an acute care facility. Which
of the following actions should the nurse take?
Clarify medical issue with PCP
Note whether the client has a living will- ANS
Note whether the client has a living will
A client on an acute mental health unit states to a nurse, tie a bow. Row the boat.
Now I know. Whoa! I see you. The nurse should document that the client is
exhibiting which of the following speech alterations?
Stress Association
Clang Association- ANS
Clang Association
A nurse is caring for a client who has Crohn’s disease. The nurse calculates that the
client BMI is 17.2. The nurse should document that the clients wait status is being
within which of the following categories?
Normal weight
Underweight- ANS
Underweight
A nurse is planning post-operative care for a client who is scheduled for a
thoracotomy with chest tube placement. Which of the following pieces of
equipment should the nurse plan to have at the client’s bedside?
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