RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT
FORM C ACTUAL TEST 2023 WITH VERIFIED SOLUTIONS/A+
GRADE
1. A nurse is caring for a client who has
... [Show More] bipolar disorder and is experiencing
acute mania. The nurse obtained a verbal prescription for restraints. Which
of the following should the actions the nurse take?: Document the client's
condition every 15 minutes
2. A nursing planning care for a school-age child who is 4 hr postoperative
following perforated appendicitis. Which of the following actions should the
nurse include in the plan of care?: Administer analgesics on a scheduled basis
for the first 24 hr
3. A nurse is receiving change-of-shift report for a group of clients. Which of
the following clients should the nurse plan to assess first?: A client who has
a hip fracture and a new onset of tachypnea
4. A nurse is preparing to apply a transdermal nicotine patch for a client.
Which of the following actions should the nurse take?: Wear gloves to apply
the patch to the client's skin
5. A nurse has just received change-of-shift report for four clients. Which of
the following clients should the nurse assess first?: A client who was just given
a glass of orange juice for a low blood glucose level
6. A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?: A
history of gastroesophageal reflux disease
7. A nurse is reviewing the laboratory results for a client who has Cushing's
disease. The nurse should expect the client to have an increase in which of
the following laboratory values?: Serum glucose level- increased
8. A nurse is caring for a client who has severe preeclampsia and is receiving
magnesium sulfate intravenously. The nurse discontinues the magnesium
sulfate after the client displaces toxicity. Which of the following actions
should the nurse take?: Administer calcium gluconate IV
Rationale: Calcium gluconate is given for magnesium sulfate toxicity. Always have
an injectable form of
calcium gluconate available when administering magnesium sulfate by IV.
9. A charge nurse is teaching new staff members about factors that increase
a client's risk to become violent. Which of the following risk factors should
the nurse include as the best predictor of future violence?: Previous violent
behavior
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RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT
FORM C ACTUAL TEST 2023 WITH VERIFIED SOLUTIONS/A+
GRADE
Risk factors also include: past history of aggression, poor impulse control, and
violence. Comorbidity that leads to acts of violence (psychotic delusions, command
hallucinations, violent angry reactions with cognitive disorders).
10. A nurse is preparing to perform a sterile dressing change. Which of
the following actions should the nurse take when setting up the sterile
field?: Place the cap from the solution sterile side up on clean surface
11. A nurse is providing teaching to an older adult client about methods to
promote nighttime
sleep. Which of the following instructions should the nurse include?: Eat a
light snack before bedtime
12. A home health nurse is preparing for an initial visit with an older adult
client who lives
alone. Which of the following actions should the nurse take first?: Identify
environmental hazards in the hom [Show Less]