ATI RN capstone proctored
comprehensive assessment 2019 B Test
Questions and Answers |100% Verified
Answers LATEST UPDATE 2023 / 2024
A nurse is
... [Show More] caring for a client who had abdominal surgery 24 hours ago. Which of
the following actions isthe priority?
A.Assess fluid intake every 24 hours
B.Ambulate three times a day
C. Assist with deep breathing and coughing
D.Monitor the incision site for findings
of infectionC
The priority action the nurse should take when using the airway, breathing,
circulation approach to clientcare is to assist the client with deep breathing and
coughing, which reduces the risk for postoperative pneumonia.
A nurse istalking with a client who has stage IV breast cancer. The nurse should
recognize which of thefollowing statements by the client as a constructive use
of a defense mechanism?
A. I have experienced physical discomfort when intimate with my partner since
my diagnosis
B. I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support group for other
women who are sick in mycommunity
D. I used to mistrust my doctor, but now I know that she is the best one to care
for me during my illnessC
Thisstatement indicates that the client is using the constructive defense
mechanism sublimation bydevising a socially acceptable alternative to facing a
reality that she does not wish to accept.
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of thefollowing actions should the nurse take?
A.Assess the clients IV site every 8 hours
B. Check the clients WBC count every 48 hours
C. Monitor the clients mouth every 8 hours
D. Change the clients IV tubing
every 48 hoursC
A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
Which of the followingareas should the nurse assess for manifestations of HD?
A. Eyes area
B. Chest area
C. Lower abdominal area
C
Hirschsprung disease is a condition that affects the large intestine (colon) and
causes problems with passing stool. This is present at birth (congenital) as a
result of missing nerve cells in the muscle of thebaby's colon
A nurse at a mental health clinic is caring for four clients. The nurse should
recognize that which of thefollowing clients is using dissociation as a defense
mechanism?
A.A client forgets to buy their partner a birthday gift after a disagreement
B.A client who was abused as a child describes the abuse as if it happened to
someone else.
C. A client who isshorter than average is verbally assertive with coworkers
D.A client states that they did not get a job promotion because the
boss did not like themB
A nurse working in an emergency department is triaging four clients. Which of
the following clientsshould the nurse recommend for treatment first?
A.An older adult client who reports constipation of 4 days
B.A preschooler who has a skin rash
C. An adolescent who has a closed fracture
D.A nurse working in an emergency department is triaging four clients. Which
of the following clientsshould the nurse recommend for treatment first?
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 thefollowing instructions
should the nurse include in the teaching? [Show Less]