ATI RN CAPSTONE COMPREHENSIVE PREDICTOR
ASSESSMENT A 2019 EXAM /RN ATI CAPSTONE
PROCTORED COMPREHENSIVE ASSESSMENT 2019 A
(VERIFIED ANSWERS)
... [Show More] (UPDATED 2024)
ATI Predictor Comprehensive Assessment 2019 A
A nurse is teaching a client who has a new prescription for metformin extended release tablets.
Which of the following statements by the client indicates an understanding of the teaching?
A nurse is assessing a client who is receiving enteral feeding via an NG tube. The client has
developed hyperosmolar dehydration. Which of the following actions should the nurse take
when administering the client’s findings?
a. Switch to a lactose-free formula.
A nurse is providing discharge teaching to a client who has a new ostomy. Which of the
following instructions should the nurse include?
a. Empty your ostomy pouch when it is half full
A nurse is teaching the parents of a school-age child who has sickle cell anemia about
managing the disease at home which of the following instructions should the nurse include?
A nurse is teaching about Safe Handling of formula to a client who is postpartum and chooses to
bottle feed her newborn. Which of the following statements by the client indicates an
understanding of the teaching?
a. I should boil tap water for 2 minutes and call it before I mix it with powdered
formula
A nurse is assessing a child who is post-operative following a tonsillectomy. Which of the
following findings should the nurse identify as the priority?
a. Frequent swallowing
A nurse is teaching a client who is pregnant about non-stress testing. Which of the following
statements by the client indicates an understanding of the teaching?
A nurse is monitoring a client who is receiving a transfusion of packed RBC's. The client reports
chills, headaches, low back pain, and a feeling of tightness in his chest. The nurse should
identify that the client has developed which of the following types of transfusion reactions?
a. Acute hemolytic
A nurse is caring for a client who is in the latent phase of Labor and reports severe back pain.
The vaginal examination reveals that the cervix is dilated two centimeters, 25% effaced and -2
station. Which of the following interventions should the nurse implement?
A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle
feeding her newborn. Which of the following instructions should the nurse include in the
1. Request the provider prescribe a pudendal nerve block
a. During this test, I will punch a button if the baby moves
a. Apply cold compresses too painful areas
a. I will avoid crushing this medication
teaching?
a. You should wear a snug fitting bra continuously for 72 hours
A nurse is preparing to administer medication to a client. What are the following identifiers
should the nurse use to identify the client?
a. Room number
A nurse is caring for a client who is taking antihypertensive medication and is moving from a
supine to a seated position. Which of the following findings should indicate to the nurse that the
client is experiencing orthostatic hypotension?
a. The clients systolic blood pressure decreases by 25 mmHg
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal
tube, the high-pressure alarm of the ventilator sounds. Which of the following actions should the
nurse take?
a. Look for a leak in the tubes cuff
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following
actions should the nurse take first?
a. Position the sterile drape leaving the perineum exposed
A nurse is planning to administer packed RBC's to an older adult client who has a low
hemoglobin level. Which of the following actions should the nurse plan to take?
a. Monitor Vital Signs every hour throughout the transfusion
A new nurse in an acute mental health facility is teaching a client about potential adverse effects
of transcranial magnetic stimulation. The nurse tells the client that he might not feel light-headed
but that it should not affect his memory. The nurse is demonstrating which of the following
ethical principles?
A nurse is teaching a class about providing care within the legal scope of practice to a group of
nurses. The nurse should include that which of the following procedures is outside the legal
scope of practice for an RN?
a. Irrigation of the external ear canal
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first
week of care, which of the following actions should the nurse take?
A nurse is planning care for a client who has sciatica and a prescription for a transcutaneous
electrical nerve stimulation (TENS) unit. Which of the following referral should the nurse
anticipate for the client?
a. Physical therapist
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?
a. 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?
a. 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?
a. Use container Lids of different shapes to indicate times of Administration
a. Observe the client for 1 hour after meals
a. Beneficence
A nurse is planning care for a client who has a history of urinary tract infections UTIs and
requires placement of an indwelling catheter. Which of the following actions should the nurse
take to help minimize the client's risk of acquiring a UTI?
a. Whoop the tubing so that is lower than the collection bag
b. keep urine a bag at bladder level when ambulating
c. secure the catheter to the client’s thigh
d. obtain urinary samples by disconnecting the tubing connections
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?
a. 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?
a. 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?
a. 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?
A community health nurse is providing education to a group of older adults about immunizations.
Which of the following immunizations should the nurse recommend?
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.)
A nurse is planning care for a client who is experiencing benzodiazepine toxicity. The nurse
should plan to administer which of the following medications?
a. Flumazenil
Mitral Valve Area
a. Tdap
a. Scrambled eggs
requires the nurse to perform which of the following actions during the admission process?
Document in the client's medical record is 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?
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?
a. Bananas
A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?
A nurse is documenting admission data for a client in an acute care facility. Which of the
following actions should the nurse take?
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, you the nurse should document that the client is exhibiting which of the
following speech alterations?
a. 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?
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?
A nurse is providing discharge teaching to a client who has Gerd. Which of the following
information should the nurse include?
a. Avoid consuming foods containing chocolate
A nurse is part of a task force planning to audit a facilities nursing unit concerning adherence to
hand hygiene protocols. Which of the following steps should the task force take first?
A nurse is planning educational materials for a client who has a new pacemaker. Which of the
following information should a nurse include?
A nurse is providing discharge teaching to a client who is 1-day postoperative following a right
modified radical mastectomy. Which of the following instructions should the nurse include in the
teaching?
A nurse is planning care for a client prior to an amniocentesis. Which of the following actions
should the nurse include in the plan of care?
a. Monitor the fetal heart rate throughout the procedure
a. Avoid using the affected arm for eating
a. Keep mobile phones 4 inches from the pacemaker generator
a. Determine the accepted standards for hand hygiene
a. Tracheostomy tray
a. Underweight
a. Note whether the client has a living will
a. Ensure that the side rails are up on the client's bed
a. Abdominal distension
A nurse is nurse is admitting assessing aaclient 24-month toe medical -old toddler-surgical at a well unit. -child checkup. The patient self Which -determination act of the following
findings indicates to the nurse that the toddler has a developmental delay?
A nurse in an emergency department is administering naloxone to a client who had a heroin
overdose. The nurse should identify which of the following assessment findings as an indication
that the medication is reversing the effects of the opioid overdose?
A nurse is caring for a client following an involuntary admission to an acute mental health facility.
The client states, I'm afraid they will give me drugs that put me to sleep. Which of the following
statements should the nurse make?
a. Why do you think your provider will prescribe you medication’s that will make you
sleep?
A nurse is caring for a client who is preoperative for cataract removal. Which of the following
statements by the client indicates an understanding of the procedure?
a. I can expect my eyelids to be bruised after this procedure
A nurse is planning care for a client who is undergoing brachytherapy for a low dose radiation
implant for treatment of prostate cancer. Which of the following interventions should the nurse
include in the client's plan of care?
a. Limit each of the client’s visitors to two hours per day
A nurse is teaching a client about using transdermal scopolamine to treat motion sickness.
Which of the following instructions should the nurse include?
a. Apply the patch prior to traveling
A nurse is admitting a school-age child who has bacterial meningitis. Which of the following
types of isolation precautions should the nurse initiate?
A nurse is planning assignments for an upcoming shift. Which of the following tasks should the
nurse delegate to an assistive Personnel? (select all that apply.)
a. Record a client's intake after each meal
b. Transfer a client to physical therapy
c. Obtain the client's Vital Signs every 4 hours
A nurse is interpreting a cardiac Rhythm strip from a client who has recurrent episodes of
syncope. Which of the following images indicates the client has atrial fibrillati [Show Less]