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RN ATI Capstone Proctored Comprehensive Assessment 2019 A and B with 100% verified solutions- 2023-2024
A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the priority?
- Assess fluid intake every 24 hours
- Ambulate three times a day
- Assist with deep breathing and coughing
- Monitor the incision site for findings of infection - ANSWER--C
A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism?
- I have experienced physical discomfort when intimate with my partner since my diagnosis
- I wish other women would stop socializing with my partner
- I told my doctor that I would like to start a support group for other women who are sick in my
- I used to mistrust my doctor, but now I know that she is the best one to care for me during my illness
community
- ANSWER--C
A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take?
- Assess the clients IV site every 8 hours
- Check the clients WBC count every 48 hours
- Monitor the clients mouth every 8 hours
- Change the clients IV tubing every 48 hours - ANSWER--C
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD). Which of the following areas should the nurse assess for manifestations of HD?
- Eyes area
- Chest area
- Lower abdominal area - ANSWER--C
RN ATI Capstone Proctored Comprehensive Assessment 2019 A and B with 100% verified solutions- 2023-2024
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?
- A client forgets to buy their partner a birthday gift after a disagreement
- A client who was abused as a child describes the abuse as if it happened to someone else.
- A client who is shorter than average is verbally assertive with coworkers
- A client states that they did not get a job promotion because the boss did not like them - ANSWER--B
A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia?
- irritability
- increased urination
- vomiting
- facial flushing - ANSWER--A
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 transfers their anger about their job onto their family and then apologizes
- A client who misses provider appointments because they say they are too busy
- A client who channels their energy into a new hobby following the loss of their job
- A client whose partner died 4 years ago sets a place for him at dinner each night - ANSWER--C
A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care?
- "We can expect the hospice nurse to provide support for us after our mother's death."
- A hospice nurse will come to the house each time our mother needs pain medication
RN ATI Capstone Proctored Comprehensive Assessment 2019 A and B with 100% verified solutions- 2023-2024
- Now that my mother is receiving hospice services, we will not be able to get respite care
- Hospice care focuses on arranging treatment that will prolong our mother's life - ANSWER--A
A nurse is caring for a client who has active pulmonary tuberculosis. Which of the following actions should the nurse take?
- Wear a surgical mask when providing client care
- Have visitors maintain a distance of 1.8m (6 feet) from the client
- Restrict fresh flowers from the clients room
- Assign the client to a private room with negative air pressure - ANSWER--D
A nurse is providing teaching to a client who is at 24 weeks of gestation and is scheduled for a 3-hr oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching?
- Limit your fat intake for 72 hours before the test
- You will need to fast the night before the test
- We will collect a urine sample the day after testing
- A blood sample will be collected every 15 minutes during the test - ANSWER--B
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?
- A 6month old infant who has croup and an O2 saturation of 92% on room air
- A 15 year old adolescent who is 2 hour postop following an open reduction and internal fixation of
- A 3 year old toddler who has gastroenteritis, moderate dehydration, and had 2 loose bowel
- A 10-year-old child who is awaiting surgery for an appendectomy and experienced sudden relief from
the left ankle and is requesting pain medication
movements over the past 24 hours
pain. - ANSWER--D
RN ATI Capstone Proctored Comprehensive Assessment 2019 A and B with 100% verified solutions- 2023-2024
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?
- Diarrhea
- Urinary retention
- Purulent discharge
- Abdominal bloating - ANSWER--D
A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take?
- Check the clients temperature
- Prepare to administer acetylcysteine to the client
- Place the client in the Trendelenburg position
- Check the client's oxygen saturation level - ANSWER--D
A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first?
- An older adult client who reports constipation of 4 days
- A preschooler who has a skin rash
- An adolescent who has a closed fracture
- A nurse working in an emergency department is triaging four clients. Which of the following clients
should the nurse recommend for treatment first? - ANSWER--D
A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast in place and a new prescription for crutches. The client is non-weight-bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching?
- Adjust the crutches for comfort as needed
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