RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019 B
ATI COMPEHENSIVE PRACTICE TEST B
A nurse is assessing a client who received
... [Show More] 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?: Hemoglobin 14.9 g/dL
1. A nurse 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
2. A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?: Measure the client's daily weight.
3. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer?: 18 g
4. A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint?: D
5. A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect?: Tremors
6. A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect?: Nuchal rigidity
7. A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take?: Auscultate the apical pulse at least 1 min.
8. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions?-
: Instruct the client to avoid coughing during the procedure.
9. A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse?: The child exhibits discomfort while walking.
10. A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet?: Fiber
11. A nurse is caring for a client who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?: Turn off the CPM machine during mealtime.
12. A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client?: Radial vein of the inner arm
13. A nurse is developing an education program about osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis?: Sedentary lifestyle
14. A nurse in the emergency department is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Which of the following interventions should the nurse identify as the priority?: Initiate transmission-based precautions.
15. A nurse is caring for a client who has a clogged percutaneous gastros- tomy feeding tube. Which of the following actions should the nurse take first?: Change the position of the client.
16. A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following instructions should the nurse include?: Empty the appliance when it is one-third to one-half full.
17. A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider?: Sodium 148 mEq/L
18. A nurse is caring for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?: Arrange the lunch tray for a client who has a hip fracture.
19. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take?: Instruct the client to void.
20. A nurse has received change-of-shift report on four assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction?: A client who is receiving an MAOI and is requesting a cheeseburger for dinner.
21. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take?: Allow for frequent rest periods throughout the day.
22. A nurse is caring for a client who is receiving continuous bladder irri- gation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which
of the following actions should the nurse take?: Irrigate the catheter with 0.9% sodium chloride irrigation.
23. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?: pH 7.31
24. A nurse in a community center is providing an educational 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
25. A nurse is caring for a client who has active tuberculosis (TB). Which of the following actions should the nurse plan to take to prevent the trans- mission of the disease?: Have the client wear a surgical mask while being transported outside the room.
26. A nurse is caring for a group of clients. Which of the following clients should the nurse attend to first?: An older adult client who is anxious and attempting to pull out an IV line
27. An RN is observing a licensed practical nurse (LPN) and an assistive personnel (AP) move a client up in bed. For which of the following situations should the nurse intervene?: The LPN and the AP grasp the client under his arms to lift him up in bed.
28. A nurse is preparing to administer insulin to a client via a pen device. Which of the following actions should the nurse take?: Hold the insulin pen device perpendicular to the client's skin to inject the medication.
29. A nurse is caring for a client who has immunosuppression and a continu- ous IV infusion. Which of the following actions should the nurse take?: Mon- itor the client's mouth every 8 hr.
30. A nurse is providing teaching about advanced directives to a middle adult client. Which of the following client responses indicates an understanding of the teaching?: "I can designate my partner as my health care surrogate."
31. A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer?: Oxytocin
32. A nurse manager is planning to use a democratic leadership style with the nurses on the unit. Which of the following actions by the nurse manager demonstrates a democratic leadership style?: Seeks input from the other nurs- es
33. A nurse is assigning task roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse assign to the member of the group functioning as the orienteer?: Noting the progress of the group toward assigned goals
34. A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan?: Administer high-dose antibiotic therapy.
35. A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction.: Use a protective cover on the scale when weighing the infant.
36. 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 breathing and coughing.
37. 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
38. A nurse is assessing for correct placement of a client's NG feeding tube prior to administering a bolus feeding. Which of the following actions should the nurse take?: Aspirate contents from the tube and verify the pH level.
39. An antepartum nurse is caring for four clients. For which of the following clients should the nurse initiate seizure precautions?: A client who is at 33 weeks of gestation and has sever gestational hypertension
40. A nurse is providing discharge teaching to a client who is to receive home oxygen therapy. Which of the following instructions should the nurse include in the teaching?: Wear clothing made with cotton fabrics while oxygen is in use.
41. 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.
42. A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should [Show Less]