{"id":113902,"date":"2023-08-18T04:26:41","date_gmt":"2023-08-18T04:26:41","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113902"},"modified":"2023-08-18T04:26:43","modified_gmt":"2023-08-18T04:26:43","slug":"rn-ati-capstone-proctored-comprehensive-assessment-test-b-3","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/18\/rn-ati-capstone-proctored-comprehensive-assessment-test-b-3\/","title":{"rendered":"RN ATI Capstone Proctored Comprehensive Assessment Test B"},"content":{"rendered":"\n<ol class=\"wp-block-list\">\n<li>A nurse is caring for a client who had abdominal surgery 24 hours<br>ago. Which of the following actions is the priority?<br>A. Assess fluid intake every 24 hours<br>B. Ambulate three times a day<br>C. Assist with deep breathing and coughing<br>D. Monitor the incision site for findings of infection\u2714\u2714\u2714 C<br>The priority action the nurse should take when using the airway,<br>breathing, circula- tion approach to client care is to assist the client<br>with deep breathing and coughing, which reduces the risk for<br>postoperative pneumonia.<\/li>\n\n\n\n<li>A nurse is talking with a client who has stage IV breast cancer. The<br>nurse should recognize which of the following statements by the client<br>as a constructive use of a defense mechanism?<br>A. I have experienced physical discomfort when intimate with my<br>partner since my diagnosis<br>B. I wish other women would stop socializing with my partner<br>C. I told my doctor that I would like to start a support group for other<br>1 \/ 4<br>2 \/ 39<br>women who are sick in my community<br>D. I used to mistrust my doctor, but now I know that she is the best one<br>to care for me during my illness\u2714\u2714\u2714 C<br>This statement indicates that the client is using the constructive<br>defense mecha- nism sublimation by devising a socially acceptable<br>alternative to facing a reality that she does not wish to accept.<\/li>\n\n\n\n<li>A nurse is caring for a client who has immunosuppression and a<br>continu- ous IV infusion. Which of the following actions should the nurse<br>take?<br>A. Assess the clients IV site every 8 hours<br>B. Check the clients WBC count every 48 hours<br>C. Monitor the clients mouth every 8 hours<br>D. Change the clients IV tubing every 48 hours\u2714\u2714\u2714 C<\/li>\n\n\n\n<li>A nurse is caring for a 2-month-old infant who has Hirschsprung<br>disease (HD). Which of the following areas should the nurse assess for<br>manifesta- tions of HD?<br>A. Eyes area<br>2 \/ 4<br>3 \/ 39<br>B. Chest area<br>C. Lower abdominal area\u2714\u2714\u2714 C<br>Hirschsprung disease is a condition that affects the large intestine<br>(colon) and causes problems with passing stool. This is present at birth<br>(congenital) as a result of missing nerve cells in the muscle of the<br>baby&#8217;s colon<\/li>\n\n\n\n<li>A nurse at a mental health clinic is caring for four clients. The nurse<br>should recognize that which of the following clients is using dissociation<br>as a defense mechanism?<br>A. A client forgets to buy their partner a birthday gift after a disagreement<br>B. A client who was abused as a child describes the abuse as if it<br>happened to someone else.<br>C. A client who is shorter than average is verbally assertive with coworkers<br>D. A client states that they did not get a job promotion because the boss<br>did not like them\u2714\u2714\u2714 B<\/li>\n\n\n\n<li>A nurse is providing teaching to a client who has a new diagnosis of<br>type 1 diabetes mellitus. The nurse should instruct the client to monitor for<br>which of the following findings as a manifestation of hypoglycemia?<br>A. irritability<br>B. increased urination<br>C. vomiting<br>D. facial flushing\u2714\u2714\u2714 A<br>3 \/ 4<br>4 \/ 39<\/li>\n\n\n\n<li>A nurse in an outpatient mental health clinic is caring for four clients.<br>The nurse should recognize that which of the following clients is effectively<br>using sublimation as a defense mechanism?<br>A. A client who transfers their anger about their job onto their family and<br>then apologizes<br>B. A client who misses provider appointments because they say they are<br>too busy<br>C. A client who channels their energy into a new hobby following the loss<br>of their job<br>D. A client whose partner died 4 years ago sets a place for him at dinner<br>each night\u2714\u2714\u2714 C<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113902","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113902"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113902\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}