ATI RN Capstone Proctored Post-
Assessment Questions and Answers
Questions : 85
Showing 85 questions
Question 1: Report an IssueReport Wrong Answer
History and PhysicalNurses' NotesVital Signs
0800:
Client has a previous back injury 3 years ago. One year ago they had a
laminectomy. The client was prescribed oxycodone for pain and received
several refills. About 3 months after surgery the client continued to report
back pain and was not able to return to work. Multiple modalities of pain
relief were provided. The client reported that none had worked.
Client has a 10-year history of alcohol use disorder, but a family member
reports sobriety for the last
A nurse is caring for a client in the emergency department (ED).
Exhibits
Complete the diagram by dragging from the choices below to
specify what condition the client is most likely experiencing, 2
actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's
progress.
Actions to Take Choices
Choices
A. Obtain prescription for restraints
B. Anticipate administering clonidine
C. Obtain prescription for naloxone
D. Prepare to initiate mechanical ventilation
E.
Potential Condition Choices
Choices
A. Stimulant intoxication
B. Opioid withdrawal
C. Opioid Intoxication
D. Alcohol intoxication
Parameters to Monitor Choices
Choices
A. Cardiac arrhythmias
,B. Pupillary reaction
C. Ethanol level
D. Respiratory rate
E.
Explanation
Correct Answer
Section Correct Answer
Obtain prescription for restraints
Actions to Take Choices
Prepare to initiate mechanical
ventilation
Potential Condition Choices Opioid withdrawal
Pupillary reaction
Parameters to Monitor
Choices
Respiratory rate
Solution
• Opioid intoxication: The client shows hallmark signs of opioid overdose
bradypnea, pinpoint pupils, hypothermia, confusion, and hypotension
after a long history of oxycodone use and functional decline.
• Obtain prescription for naloxone: Naloxone is an opioid antagonist that
rapidly reverses life-threatening respiratory depression caused by
opioid toxicity and should be administered promptly.
• Prepare to initiate mechanical ventilation: Due to the client's shallow
respirations and oxygen saturation of 90% on room air, assisted
ventilation may be needed to maintain adequate oxygenation post-
naloxone or if unresponsive.
• Respiratory rate: Hypoventilation is the most critical complication of
opioid overdose; frequent monitoring is essential to detect
deterioration or improvement following naloxone administration.
• Pupillary reaction: Constricted pupils are a key indicator of opioid
toxicity. Monitoring for dilation after naloxone helps assess the reversal
of opioid effects and neurologic improvement.
Discussion Section
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Question 2: Report an IssueReport Wrong Answer
Nurses' NotesVital SignsProvider PrescriptionsLaboratory Results
Day 1, 2200:
,Child has been admitted to the pediatric unit for observation following
tonsillectomy. Parents report child has history of chronic pharyngitis. Child is
drowsy, but responsive to verbal stimuli. Respirations even, non-labored.
Heart rate regular. No bleeding noted. Child rates pain as 3 out of 10 on a
scale of 0 to 10. Head of bed elevated.
Day 2, 0800:
Child is alert and awake, clears throat often. Small amount of bleeding noted
in the posterior pharynx. Breath sounds clear bilaterally. Abdomen soft, non-
distended, non-tender. Skin dry. Child rates pain as 3 out of 10 on a scale of
0 to 10.
Day 2, 0830:
Parent reports child has vomited bright red emesis.
A nurse is caring for a 9-year old child on the pediatric unit
Exhibits
Complete the following sentence by using the lists of options.
The nurse should plan to inspect the child's oropharynxoffer the
child a red popsicleplace the child in a supine position followed
by Requesting a prescription for codeineEncouraging the child to
cough and deep breatheObtaining a set of vital signs.
Explanation
Correct Answer:
Dropdown Group 1: inspect the child's oropharynx
Dropdown Group 2: Obtaining a set of vital signs
Solution
• Inspect the child’s oropharynx: After vomiting bright red blood,
inspection can help confirm if bleeding is active in the throat. This
assessment is key in identifying post-tonsillectomy hemorrhage.
• Obtaining a set of vital signs: Vital signs help evaluate the child’s
hemodynamic stability, monitor for hypovolemic shock, and guide
urgency for provider notification or surgical intervention.
Rationale for Incorrect Choices:
, • Offer the child a red popsicle: Red-colored foods can mask signs of
active bleeding. Also, offering oral intake during suspected
hemorrhage is unsafe and may increase risk of aspiration.
• Place the child in a supine position: Supine positioning can increase
aspiration risk if bleeding continues or worsens. The child should
remain upright to protect the airway.
• Requesting a prescription for codeine: Codeine is not indicated in this
situation and is contraindicated in children post-tonsillectomy due to
risk of respiratory depression, especially during bleeding.
• Encouraging the child to cough and deep breathe: Coughing may
dislodge clots and worsen bleeding. This action is inappropriate when
bleeding is suspected in the oropharynx.
Discussion Section
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Question 3: Report an IssueReport Wrong Answer
A nurse is teaching about methods to promote sleep to a client who
has insomnia. Which of the following statements should the nurse
make?
A. "Perform 20 minutes of cardiovascular exercise 1 hour before bedtime."
B. "Avoid eating heavy meals 3 hours before bedtime."
C. "If you are unable to sleep, wait 1 hour before trying a quiet activity."
D. "Avoid caffeinated beverages 2 hours prior to bedtime."
Explanation
Correct Answer : B
"Perform 20 minutes of cardiovascular exercise 1 hour before bedtime.”
Exercise promotes sleep, but performing it too close to bedtime can be
stimulating and interfere with falling asleep. It is better to complete vigorous
activity at least 2–3 hours before bedtime.
"Avoid eating heavy meals 3 hours before bedtime." Heavy meals close to
bedtime can cause discomfort, indigestion, or reflux, disrupting sleep.
Avoiding such meals for at least 3 hours helps promote more restful and
uninterrupted sleep.
"If you are unable to sleep, wait 1 hour before trying a quiet activity." It is
not recommended to stay in bed for an extended time if unable to sleep. A
quiet activity should be initiated within 20 minutes to avoid associating the
bed with wakefulness.
Assessment Questions and Answers
Questions : 85
Showing 85 questions
Question 1: Report an IssueReport Wrong Answer
History and PhysicalNurses' NotesVital Signs
0800:
Client has a previous back injury 3 years ago. One year ago they had a
laminectomy. The client was prescribed oxycodone for pain and received
several refills. About 3 months after surgery the client continued to report
back pain and was not able to return to work. Multiple modalities of pain
relief were provided. The client reported that none had worked.
Client has a 10-year history of alcohol use disorder, but a family member
reports sobriety for the last
A nurse is caring for a client in the emergency department (ED).
Exhibits
Complete the diagram by dragging from the choices below to
specify what condition the client is most likely experiencing, 2
actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's
progress.
Actions to Take Choices
Choices
A. Obtain prescription for restraints
B. Anticipate administering clonidine
C. Obtain prescription for naloxone
D. Prepare to initiate mechanical ventilation
E.
Potential Condition Choices
Choices
A. Stimulant intoxication
B. Opioid withdrawal
C. Opioid Intoxication
D. Alcohol intoxication
Parameters to Monitor Choices
Choices
A. Cardiac arrhythmias
,B. Pupillary reaction
C. Ethanol level
D. Respiratory rate
E.
Explanation
Correct Answer
Section Correct Answer
Obtain prescription for restraints
Actions to Take Choices
Prepare to initiate mechanical
ventilation
Potential Condition Choices Opioid withdrawal
Pupillary reaction
Parameters to Monitor
Choices
Respiratory rate
Solution
• Opioid intoxication: The client shows hallmark signs of opioid overdose
bradypnea, pinpoint pupils, hypothermia, confusion, and hypotension
after a long history of oxycodone use and functional decline.
• Obtain prescription for naloxone: Naloxone is an opioid antagonist that
rapidly reverses life-threatening respiratory depression caused by
opioid toxicity and should be administered promptly.
• Prepare to initiate mechanical ventilation: Due to the client's shallow
respirations and oxygen saturation of 90% on room air, assisted
ventilation may be needed to maintain adequate oxygenation post-
naloxone or if unresponsive.
• Respiratory rate: Hypoventilation is the most critical complication of
opioid overdose; frequent monitoring is essential to detect
deterioration or improvement following naloxone administration.
• Pupillary reaction: Constricted pupils are a key indicator of opioid
toxicity. Monitoring for dilation after naloxone helps assess the reversal
of opioid effects and neurologic improvement.
Discussion Section
A
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No comments
Question 2: Report an IssueReport Wrong Answer
Nurses' NotesVital SignsProvider PrescriptionsLaboratory Results
Day 1, 2200:
,Child has been admitted to the pediatric unit for observation following
tonsillectomy. Parents report child has history of chronic pharyngitis. Child is
drowsy, but responsive to verbal stimuli. Respirations even, non-labored.
Heart rate regular. No bleeding noted. Child rates pain as 3 out of 10 on a
scale of 0 to 10. Head of bed elevated.
Day 2, 0800:
Child is alert and awake, clears throat often. Small amount of bleeding noted
in the posterior pharynx. Breath sounds clear bilaterally. Abdomen soft, non-
distended, non-tender. Skin dry. Child rates pain as 3 out of 10 on a scale of
0 to 10.
Day 2, 0830:
Parent reports child has vomited bright red emesis.
A nurse is caring for a 9-year old child on the pediatric unit
Exhibits
Complete the following sentence by using the lists of options.
The nurse should plan to inspect the child's oropharynxoffer the
child a red popsicleplace the child in a supine position followed
by Requesting a prescription for codeineEncouraging the child to
cough and deep breatheObtaining a set of vital signs.
Explanation
Correct Answer:
Dropdown Group 1: inspect the child's oropharynx
Dropdown Group 2: Obtaining a set of vital signs
Solution
• Inspect the child’s oropharynx: After vomiting bright red blood,
inspection can help confirm if bleeding is active in the throat. This
assessment is key in identifying post-tonsillectomy hemorrhage.
• Obtaining a set of vital signs: Vital signs help evaluate the child’s
hemodynamic stability, monitor for hypovolemic shock, and guide
urgency for provider notification or surgical intervention.
Rationale for Incorrect Choices:
, • Offer the child a red popsicle: Red-colored foods can mask signs of
active bleeding. Also, offering oral intake during suspected
hemorrhage is unsafe and may increase risk of aspiration.
• Place the child in a supine position: Supine positioning can increase
aspiration risk if bleeding continues or worsens. The child should
remain upright to protect the airway.
• Requesting a prescription for codeine: Codeine is not indicated in this
situation and is contraindicated in children post-tonsillectomy due to
risk of respiratory depression, especially during bleeding.
• Encouraging the child to cough and deep breathe: Coughing may
dislodge clots and worsen bleeding. This action is inappropriate when
bleeding is suspected in the oropharynx.
Discussion Section
A
0 Pulse Checks
No comments
Question 3: Report an IssueReport Wrong Answer
A nurse is teaching about methods to promote sleep to a client who
has insomnia. Which of the following statements should the nurse
make?
A. "Perform 20 minutes of cardiovascular exercise 1 hour before bedtime."
B. "Avoid eating heavy meals 3 hours before bedtime."
C. "If you are unable to sleep, wait 1 hour before trying a quiet activity."
D. "Avoid caffeinated beverages 2 hours prior to bedtime."
Explanation
Correct Answer : B
"Perform 20 minutes of cardiovascular exercise 1 hour before bedtime.”
Exercise promotes sleep, but performing it too close to bedtime can be
stimulating and interfere with falling asleep. It is better to complete vigorous
activity at least 2–3 hours before bedtime.
"Avoid eating heavy meals 3 hours before bedtime." Heavy meals close to
bedtime can cause discomfort, indigestion, or reflux, disrupting sleep.
Avoiding such meals for at least 3 hours helps promote more restful and
uninterrupted sleep.
"If you are unable to sleep, wait 1 hour before trying a quiet activity." It is
not recommended to stay in bed for an extended time if unable to sleep. A
quiet activity should be initiated within 20 minutes to avoid associating the
bed with wakefulness.
