A nurse is caring for a client
who had abdominal surgery
24 hr ago. Which of the
following actions is the nurse's
priority?
Assist with deep
... [Show More] breathing and coughing
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 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 I.V infusion.
Which of the following actions
should the nurse take?
Monitor the client's mouth every 8 hr
ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (NGN) QUESTIONS AND ANSWERS |
100% CORRECT 2024/2025
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
Study
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 (urgent)
Study
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
Study
A nurse is preparing to initiate
I.V access for an older adult
client. Which of the following
sites should the nurse select
when initiating the I.V for this
client?
Radial vein of the inner arm
A nurse is planning to delegate
client care tasks to an AP.
Which of the following tasks
should the nurse plan to
delegate to the AP?
Perform gastrostomy feedings through a client's
established gastrostomy tube
A nurse is caring for a newborn
immediately after delivery.
Which of the following
interventions should the nurse
implement to preventheat loss
by conduction?
Use a protective cover on the scale when weighing
the infant
A nurse is caring for a client
who is receiving a continuous
heparin infusion. Which of the
following laboratory tests
should the nurse review prior
to adjusting the client's
heparin?
aPTT
Study
A nurse administers an
incorrect dose of medication
to a client. The nurse
recognized the error
immediately and completes
and incident report. Which of
the following facts related to
the incident should the nurse
document in the client's
medical record?
Time the medication was given
A nurse is providing education
to the parent of a school age
child who has asthma. Which
of the following statements by
the parent indicates an
understanding of the teaching?
"I will make sure my child receives a yearly influenza
immunization" [Show Less]