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Exam Elaboration | Health Care
ATI Proctored Capstone Comprehensive Assessment B
SKU: ATI Proctored Capstone Comprehensive Assessment B | Pages: 44 | Year: 2023
Document Brief Description
The client can develop a cough due to a buildup of bradykinin in the lungs.
66. A home health nurse is caring for a group of older adult clients.The...
The client can develop a cough due to a buildup of bradykinin in the lungs.
66. A home health nurse is caring for a group of older adult clients.The nurse
should initiate a referral to the Program of All-Inclusive Care for the Elderly
(PACE) for which of the following clients?
A. A client whose family requests hospital based hospice care
B. A client who requires transfer to a skilled care facility
C. A client who qualifies for telehealth for pacemaker diagnostics
D. A client whose caregiver requests adult day care services: D
67. A nurse is assessing a client for compartment syndrome. Which of the
following findings should the nurse expect?
A. Fever
B. Shortened femoral neck
C. Edema
D. Dark brown urine: C
68. A nurse in an 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?
A. Encourage oral fluids
B. Apply topical calamine lotion
C. Administer acetaminophen as an antipyretic
D. Initiate transmission based precautions: D
69. A nurse in an outpatient mental health facility is assessing a child who
has autism spectrum disorder.Which of the following manifestations should
the nurse expect?
A. Strict adherence to routines
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B. Difficulty paying attention to tasks
C. Disobedience to authority figures
D. Excessive anxiety when separated from parents: A
70. A nurse is caring for a client who recently signed an informed consent
form to donate a kidney to her sibling who has end-stage kidney disease.
The donor states to the nurse, "I don't want my brother to die, but what if
I need this kidney one day?" Which of the following responses should the
nurse make?
A. "I understand your hesitation, but I'm very proud of you for making the
right decision"
B. "Organ donation from a first degree relative is your brother's best chance
of survival"
C. "You're afraid that your other kidney will fail at some point after the organ
donation"
D. "I know this process won't be easy, but you should focus on saving your
brother's life": C
71. A nurse is preparing to administer a blood transfusion to a client. Which
of the following procedures should the nurse follow to ensure proper client
identification?
A. Check the client's blood type and crossmatch it against the providers
orders
B. Ask the client to state their blood type prior to beginning blood administration
C. Compare information on the blood product to the informed consent form
D.Verify the client and blood product information with another licensed
nurse.: D
72. 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 the nurse
include in the change-of-shift report?
A. The last time the provider evaluated the client
B.The client's most recent ventilator settings
C.The time of the client's last dose of pain medication
D.The frequency in which the client presses the call buttom: C
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73. A nurse is reviewing the lab report of a client who has end-stage kidney
disease and received hemodialysis 24 hr ago. Which of the following lab
values should the nurse report to the provider?
A. Platelets 268,000/mm3
B. Calcium 9.2 mg/dL
C. WBC 5,200/mm3
D. Sodium 148 mEq/L: D
Sodium is elevated and could indicate issues with renal
74. 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)?
A. Palpate the degree of edema
B. Regulate IV pump fluid rate
C. Measure the client's daily weight
D. Assess the client's vital signs: C
75. A nurse is caring for an older adult client who is experiencing chronic
anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates that the client needs additional nutrients added to
the feeding?
A. Creatinine 1.1 mg/dL
B. Albumin 2.8 g/dL
C.Triglycerides 100 mg/dL
D. Alkaline phosphatase 118 units/L: B
76. A home health nurse is evaluating a school-age child who has cystic
fibrosis.The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?
A. "My child doesn't like to sit still for nebulizer treatments"
B. "I think that my child has been running a fever over the last couple of days"
C. "My child has only a small amount of mucus after percussion therapy"
D. "I am concerned about my child's future participation in team sports": C
77. 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?
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A. Insert air in the tube and listen for gurgling sounds in the epigastric area
B. Aspirate contents from the tube and verify the pH level
C. Review the medical record for previous x-ray verification of placement
D. Auscultate the lungs for adventitious breath sounds: B
78. A nurse is reviewing the lab results of a toddler who has hemophilia A.
Which of the following aPTT values should the nurse expect?
A. 11 seconds
B. 22 seconds
C. 30 seconds
D. 45 seconds: D
79. A nurse is assessing a client whose partner recently died.The client
states, "I don't know what to do without my partner. Life is just not worth
living." Which of the following responses should the nurse make?
A. "It's natural for you to feel this way now, but things will get better with
time"
B. "You seem to be having a difficult time right now"
C. "Why do you feel like your life isn't worth living?"
D. "You'd be surprised how many people experience these feelings": B
80. 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?
A. The LPN and AP lower the side rails before lifting the client up in bed
B. Prior to lifting the client, the LPN and AP raise the bed to waist level
C.The LPN and the AP grasp the client under this arms to life him up in bed
D.The LPN and the AP ask the client to flex his knees and push his heels into
the bed as they lift: C
81. A nurse is caring for a client who is in the resuscitation phase of burn
injury. Which of the following findings should the nurse expect?
A. Decreased hematocrit
B. Hypokalemia
C. Hyponatremia
D. Increased albumin: C
the initial resuscitation period (between 0 and 36 h). characterized by hyponatremia
22 / 39
and hyperkalemia d/t sodium loss in burn tissue and tissue necrosis.
Hyponatremia is due to extracellular sodium depletion following changes in cellular
permeability.
82. A nurse on a mental health unit is conducting a mental status examination (MSE) on a new admitted client. Which of the following components of
the MSE is the priority for the nurse to assess?
A. Mood
B. Speech
C. Ideas of self harm
D. Memory loss: C
83. 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?
A. Avoids initiating change
B. Seeks input from the other nurses
C. Makes decisions quickly
D. Limits the amount of feedback to the staff: B
84. 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?
A. Limit intake of fluids to 1,000 mL daily
B.Take a laxative if no stool has passed after 12 hr
C. Empty the appliance when it is one-third to one-half full
D. Change the entire pouch system every 1-2 days: C
85. A nurse manager is preparing an educational session about advocacy to
a group of nurses.The nurse manager should include which of the following
information in the teaching?
A. Advocacy is a leadership role that helps others to self- actualize
B. Subordinates are advocates for the nurse manager
C. Advocacy encourages clients to rely on health care staff for decision
making
D. Nurse managers should distrust people who advocate against inappropriate professional practices: A
- 44-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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ATI Proctored Capstone Comprehensive Assessment B
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