ATI RN CAPSTONE COMP 2019 B
ATI RN CAPSTONE COMP 2019 B
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following action
... [Show More] s is the
nurse's priority? Assist with deep breathing and coughing
A nurse is talking with a client who hasstage IV breast cancer. The nurse should recognize which of the
following statements by the client as a constructive use of a defense mechanism? "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 caring for a client who has immunosuppression and a continuous IV infusion. Which of the
following actions should the nurse take?Monitor the client's mouth every 8 hr
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? C
The nurse should assess the infant's abdomen for distention and visible peristalsis, which are
manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should recognize the following
clients is using dissociation as a defense mechanism? A client who was abused as a child describes the
abuse as if it happened to someone else
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
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
channels their energy into a new hobby following the loss of their job
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 nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse
take? Assign the client to a private room with negative air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3 hour oral
glucose tolerance test. Which of the following instructions should the nurse include in the teaching?
"You will need to fast the night before the test"
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 10 year old child who is awaiting surgery for an appendectomy
and experienced sudden relief from pain
A nurse in a community center is providing an education session to a group of clients about ovarian
cancer. Which of the following manifestations of ovarian cancer should the nurse include in the
teaching? Abdominal bloating
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 client's oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of the following clients
should the nurse recommend for treatment first? A middle adult client who has unstable vital
signs
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? Use a three-point gait
A nurse is preparing to initiate IV access for an older adult cl [Show Less]
