2023 RN ATI CAPSTONE COMPREHENSIVE A.pdf
A nurse in apediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following
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actions should the nurse take?
A.(Unable to read)
B.Tell thechildthey will feeldiscomfortduringthecatheterinsertion.
C.Use a mummy restraint to hold the child during the catheter insertion.
D.Require the parents to leave the room during the procedure.
A nurse is caring for a client who has arteriovenous fistula Which of thefollowing findings should the
nursereport?
A.Thrilluponpalpation.
B.Absenceof abruit.
C.Distendedbloodvessels
D.Swishingsounduponauscultation.
A nurse is providing discharge teaching for a client who has an implantablecardioverter
defibrillator whichof thefollowingstatementsdemonstratesunderstandingof theteaching?
A.“I will soak in the tub rather and showering”
B.“I will wear loose clothing around my ICD”
C.“I will stop using my microwave oven at home because of my ICD”
D.“I can hold my cellphone on the same side of my body as the ICD”
A nurse is caring for a client who is at 14 weeks gestation and reportsfeelings of ambivalence about
being pregnant. Which of the following responses should the nurse make?
A.“Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with yourprovider”
C.“Haveyoudiscussedthesefeelings withyourpartner?”
D.“Whendidyoustarthavingthesefeelings?”
A nurse is planning care for a client who has a prescription for a bowel- trainingprogram following aspinal
cord injury. Which of thefollowing actionsshould thenurse include in theplan of care?
A.Encourageamaximumfluidintakeof 1,500 mlperday.
B.Increase theamount of refined grains intheclient’s diet.
C.Providetheclient withacolddrinkpriortodefecation.
D. Administer a rectal suppository 30 minutes prior to scheduleddefecation times.
A nurseiscaringforaclient whoisinactivelaborandrequestspainmanagement. Whichof the
followingactionsshouldthenursetake?
A.Administer ondansetron.
B.Placetheclient ina warm shower.
C.Apply fundal pressure during contractions.
D.Assist the client to a supine position.
a nurse in an emergency department is performing triage for multiple clients followingadisaster inthe
community. To whichof thefollowingtypesof injuries should the nurse assign the highest priority?
A.Below-the knee amputation
B.Fracturedtibia
C.95% full-thicknessbodyburn
D.10cm (4in) laceration to the forearm
a nurse manager is updating protocols for the use of belt restraints. Whichof the following guidelines
should the nurse include?
A.Remove the client’s restraint every 4hr
B.Document the client’s condition every 15 min
C.Attach therestrain to the bed’s siderails
D.Request a PRN restrain prescription for clients who are aggressive
A nurse is teaching an in-service about nursing leadership. Which of thefollowing information should
the nurse include about an effective leader?
A.Actsasanadvocateforthenursingunit.
B.(Unabletoread) for theunit
C.Prioritiesstaff requestoverclientneeds.
D.Provides routine client careand documentation.
A nurse is reviewing the laboratory findings of a client who has diabetesmellitus and reports that she
has been following her (unable to read) care. The nurse should identify which of the following findings
indicates a need torevise theclient’s plan ofcare.
A.Serum sodium 144 mEq/
B.(Unable to read)
C.Hba1c10%
D.Randomserumglucose190mg/dl.
A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse
should identify that which of the following sexually transmitted infections is a nationally notifiable
infectious diseasethat should be reported to the statehealth department?
A.Chlamydia
B.Humanpapillomavirus
C.Candidiasis
D.Herpssimplexvirus
A nurseis teachinganewly licensednurseabout therapeutictechniquesto use when leading a group on
a mental health unit. Which of the following group facilitation techniques should the nurse include in the
teaching?
A.Share personal opinions to help influence the group’s values
B.Measuretheaccomplishmentsof thegroupagainstapreviousgroup
C.Yield in situations of conflicts to maintain group harmony
D.Use modeling to help the clients improve their interpersonal skills
A nurse is planningfor a client who practices Orthodox Judaism. The client tells the nurse that
(Unable to read) Passover holiday. Which of thefollowing action should the nurse include in the plan of
care?
A.Provide chicken with cream sauce.
B.Avoid serving fish with fins and scales.
C.Provide unleavened bread.
D.Avoid serving foods containing lamb.
A nurse is caring for a client who has a pulmonary embolism. The nurseshould identify the
effectiveness of the treatment
A.A chest x-ray reveals increased density in all fields.
B.The client reports feeling less anxious.
C.Diminished breath sounds are auscultated bilaterally
D.ABG resultsinclude Ph7.48 PaO277 mm Hgand PaCO247 mm Hg.
A nurse in an emergency department is assessing a client who reportsingesting thirty diazepam
tablets (Unable to read) a respiratory rate of 10/min. Aftersecuringtheclient’s airwayandinitiatinganIV,
whichof thefollowing actions should thenursedonext.
A.Monitor theclient’sIVsitefor thrombophlebitis. [Show Less]