ATI CAPSTONE LEADERSHIP PROCTORED - COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: A nurse working on a med-surg unit is managing the
care of four clients. The nurse should schedule an interdisciplinary
conference for which of the following clients?
A. a client who is at risk for pressure ulcers and has a albumin level of
4.2g/dl b. a client has type 1 DM and uses an insulin pump
C. a client who is receiving heparin and has an aPTT of 34 seconds
D. a client who has orthostatic hypotension and is receiving IV fluids.
Answer:
***a. a client who is at risk for pressure ulcers and has a albumin level of
4.2g/dl
A client who is at risk for pressure ulcers and has an albumin level of 4.2
g/dL
This client's condition is complex and requires the expertise of multiple
professionals. The risk of pressure ulcers indicates a need for nursing
care and possibly physical therapy. The albumin level, which is a marker
of nutritional status, may indicate a need for a dietitian.
Question 2: A nurse enters the hallway and discovers a visitor
looking at a client9s medical information on a computer. Which of
the following actions should the nurse take first?
A. Tell the care nurse that a visitor viewed a client9s protected health
information.
B. Close the documentation program on the computer.
C. Inform the visitor the client records are confidential.
, D. Find out which staff member left the documentation program on
the screen.
Answer:
B. Close the documentation program on the computer.
Question 3: A nurse is assessing an older adult client who was
brought to the emergency department by his son, who reports that
that client fell at home. The nurse suspects elder abuse. Which of
the following actions should the nurse take?
A. File an incident report.
B. Ask the client about his injuries with the son present.
C. Ask the clients son to go to the waiting area .
D. Treat and discharge the client
Answer:
c. Ask the clients son to go to the waiting area
Asking the client's son to go to the waiting area allows the nurse to have
a private conversation with the client, which is crucial in suspected cases
of elder abuse to gather information without potential interference or
intimidation.
Question 4: A nurse is caring for a client who is unconscious and
whose partner is their health care surrogate. The partner wishes to
discontinue client9s feeding tube, but another family member tells
the nurse that they want the client to continue receiving treatment.
Which of the following responses should the nurse make?
A. "You should contact the provider about your wishes for your family
member."
B. "We'll need to have the nursing supervisor review the client's
advance directives."
, C. "You should speak with the facility's ethics committee about your
concerns."
D. "As the health care surrogate, the client's partner can make this
decision."
Answer:
d. "As the health care surrogate, the client's partner can make this
decision."
As the healthcare surrogate, the partner is legally allowed to make
decisions on behalf of the client. A healthcare surrogate is an individual
upon whom the legal mandate is given to make healthcare decisions on
behalf of the client in the event where the client lacks capacity to do so.
Question 5: A nurse is caring for a client who reports acute pain
but refuses IM medication. The nurse distracts the client and
quickly administers the injection. This illustrates which of the
following?
A. Assault
B. False imprisonment
C. Battery
D. Libel
Answer:
C. Battery
Battery involves unauthorized or harmful physical contact, which
administering the injection without consent would constitute.
Assault involves the threat of unwanted or harmful contact.
Question 6: A nurse is caring for a client who has anorexia
nervosa. Which of the following interdisciplinary team members
should be consulted in regards to client care? (select all that apply)
, A. Occupational therapist
B. case manager
C. nutritional therapist
D. physical therapist
E. mental health counselor
Answer:
B. case manager
Question 7: A nurse manager is reviewing isolation guidelines with
a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicated understanding of isolation
guidelines?
A. "I will have a client who is on airborne precautions wear a mask
when out of her room"
B. "I will wear an N95 respirator mask for a client who is on droplet
precautions."
C. "I will place a client who has compromised immunity in a
negative-pressure airflow room"
D. "I will instruct visitors to wear a mask when visiting a client who is
on contact precautions."
Answer:
A. "I will have a client who is on airborne precautions wear a mask when
out of her room"
A hospice nurse is caring for a client who has a terminal illness and
reports severe pain. After the nurse administers the prescribed opioid
and benzodiazepine, the client becomes somnolent and
Question 8: difficult to arouse. Which of the following actions
should the nurse take?
A. withhold the benzodiazepine but continue the opioid
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: A nurse working on a med-surg unit is managing the
care of four clients. The nurse should schedule an interdisciplinary
conference for which of the following clients?
A. a client who is at risk for pressure ulcers and has a albumin level of
4.2g/dl b. a client has type 1 DM and uses an insulin pump
C. a client who is receiving heparin and has an aPTT of 34 seconds
D. a client who has orthostatic hypotension and is receiving IV fluids.
Answer:
***a. a client who is at risk for pressure ulcers and has a albumin level of
4.2g/dl
A client who is at risk for pressure ulcers and has an albumin level of 4.2
g/dL
This client's condition is complex and requires the expertise of multiple
professionals. The risk of pressure ulcers indicates a need for nursing
care and possibly physical therapy. The albumin level, which is a marker
of nutritional status, may indicate a need for a dietitian.
Question 2: A nurse enters the hallway and discovers a visitor
looking at a client9s medical information on a computer. Which of
the following actions should the nurse take first?
A. Tell the care nurse that a visitor viewed a client9s protected health
information.
B. Close the documentation program on the computer.
C. Inform the visitor the client records are confidential.
, D. Find out which staff member left the documentation program on
the screen.
Answer:
B. Close the documentation program on the computer.
Question 3: A nurse is assessing an older adult client who was
brought to the emergency department by his son, who reports that
that client fell at home. The nurse suspects elder abuse. Which of
the following actions should the nurse take?
A. File an incident report.
B. Ask the client about his injuries with the son present.
C. Ask the clients son to go to the waiting area .
D. Treat and discharge the client
Answer:
c. Ask the clients son to go to the waiting area
Asking the client's son to go to the waiting area allows the nurse to have
a private conversation with the client, which is crucial in suspected cases
of elder abuse to gather information without potential interference or
intimidation.
Question 4: A nurse is caring for a client who is unconscious and
whose partner is their health care surrogate. The partner wishes to
discontinue client9s feeding tube, but another family member tells
the nurse that they want the client to continue receiving treatment.
Which of the following responses should the nurse make?
A. "You should contact the provider about your wishes for your family
member."
B. "We'll need to have the nursing supervisor review the client's
advance directives."
, C. "You should speak with the facility's ethics committee about your
concerns."
D. "As the health care surrogate, the client's partner can make this
decision."
Answer:
d. "As the health care surrogate, the client's partner can make this
decision."
As the healthcare surrogate, the partner is legally allowed to make
decisions on behalf of the client. A healthcare surrogate is an individual
upon whom the legal mandate is given to make healthcare decisions on
behalf of the client in the event where the client lacks capacity to do so.
Question 5: A nurse is caring for a client who reports acute pain
but refuses IM medication. The nurse distracts the client and
quickly administers the injection. This illustrates which of the
following?
A. Assault
B. False imprisonment
C. Battery
D. Libel
Answer:
C. Battery
Battery involves unauthorized or harmful physical contact, which
administering the injection without consent would constitute.
Assault involves the threat of unwanted or harmful contact.
Question 6: A nurse is caring for a client who has anorexia
nervosa. Which of the following interdisciplinary team members
should be consulted in regards to client care? (select all that apply)
, A. Occupational therapist
B. case manager
C. nutritional therapist
D. physical therapist
E. mental health counselor
Answer:
B. case manager
Question 7: A nurse manager is reviewing isolation guidelines with
a newly licensed nurse. Which of the following statements by the
newly licensed nurse indicated understanding of isolation
guidelines?
A. "I will have a client who is on airborne precautions wear a mask
when out of her room"
B. "I will wear an N95 respirator mask for a client who is on droplet
precautions."
C. "I will place a client who has compromised immunity in a
negative-pressure airflow room"
D. "I will instruct visitors to wear a mask when visiting a client who is
on contact precautions."
Answer:
A. "I will have a client who is on airborne precautions wear a mask when
out of her room"
A hospice nurse is caring for a client who has a terminal illness and
reports severe pain. After the nurse administers the prescribed opioid
and benzodiazepine, the client becomes somnolent and
Question 8: difficult to arouse. Which of the following actions
should the nurse take?
A. withhold the benzodiazepine but continue the opioid
