ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
1. 9. A client who has a diagnosis of complete placenta Prepare the client for a ce-
previa is admitted to the labor and delivery suite at 36 sarean section
weeks gestation with contractions 5 min in frequency
and 1 min in duration. Which of the following actions
should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
2. 177. A nurse enters a client's room and finds the client Client found lying on the
lying on the floor in a puddle of water. Which of the floor near the bedside
following statements should the nurse document in table
an incident report?
A. Client fell out of bed because an assistive personnel
left the rails of the bed down
B. Client's roommate thinks the client is confused and
fell when getting out of bed
C. Client appears to have slipped in water but reports
no injuries
D. Client found lying on the floor near the bedside
table
3. 178. A charge nurse on a pediatric unit is making A 10-year-old client who
assignments for a float nurse from the medical unit. has pneumonia and is re-
Which of the following clients is appropriate to assign ceiving respiratory treat-
to the float nurse? ments
A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is
receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgi-
1
, ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
cal repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge
today following placement of a Herrington rod
4. 179. A nurse is preparing to administer vancomycin to Ototoxicity
a client who has an infected wound. The nurse should
plan to monitor for which of the following adverse
reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension
5. 180. A nurse is assessing an infant who has water Thready pulse
intoxication. Which of the following findings should
the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
6. 1. A home health nurse is conducting an initial home Inform the client of avail-
visit for a client who has terminal breast cancer. The able community resources
client has two school-age children and a limited sup-
port system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the
diagnosis
7.
2
, ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
2. A nurse in an emergency department is assessing a Clear fluid drainage from
client who has a nasal fracture. Which of the following the nares
findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry
8. 3. A nurse in an urgent care clinic is collecting admis- Profuse milky white dis-
sion history from a client who is at 16 weeks of ges- charge
tation and has bacterial vaginosis. The nurse should
recognize that which of the following clinical findings
are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria
9. 4. A nurse is discussing the z-track administration of This technique decreases
hydroxyzine with a newly licensed nurse. Which of the risk of subcutaneous
the following statements indicates the newly licensed infiltration
nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous
infiltration
C. This technique allows a larger amount of medica-
tion to be injected
D. This technique increases the absorption rate of the
drug
10. Dry the newborn
3
, ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
10. A nurse is caring for a full-term newborn imme-
diately following birth. Which of the following actions
should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the
newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn
11. 11. A nurse is planning to provide community edu- Clients who have a histo-
cation about viral hepatitis. Which of the following ry of viral hepatitis are un-
should the nurse plan to include in the teaching? able to donate blood
A. A series of four hepatitis vaccines is recommended
to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are
unable to donate blood
12. 12. A nurse in a residential mental health facility is Work with the client to cre-
planning care for a new client who has obsessive com- ate a flexible daily sched-
pulsive disorder. Which of the following is appropriate ule
for the nurse to include in the plan of care?
A. Work with the client to create a flexible daily sched-
ule
B. Gradually decrease the time allowed for ritualistic
behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive
thoughts
13. Malnutrition
4
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
1. 9. A client who has a diagnosis of complete placenta Prepare the client for a ce-
previa is admitted to the labor and delivery suite at 36 sarean section
weeks gestation with contractions 5 min in frequency
and 1 min in duration. Which of the following actions
should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
2. 177. A nurse enters a client's room and finds the client Client found lying on the
lying on the floor in a puddle of water. Which of the floor near the bedside
following statements should the nurse document in table
an incident report?
A. Client fell out of bed because an assistive personnel
left the rails of the bed down
B. Client's roommate thinks the client is confused and
fell when getting out of bed
C. Client appears to have slipped in water but reports
no injuries
D. Client found lying on the floor near the bedside
table
3. 178. A charge nurse on a pediatric unit is making A 10-year-old client who
assignments for a float nurse from the medical unit. has pneumonia and is re-
Which of the following clients is appropriate to assign ceiving respiratory treat-
to the float nurse? ments
A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is
receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgi-
1
, ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
cal repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge
today following placement of a Herrington rod
4. 179. A nurse is preparing to administer vancomycin to Ototoxicity
a client who has an infected wound. The nurse should
plan to monitor for which of the following adverse
reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension
5. 180. A nurse is assessing an infant who has water Thready pulse
intoxication. Which of the following findings should
the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
6. 1. A home health nurse is conducting an initial home Inform the client of avail-
visit for a client who has terminal breast cancer. The able community resources
client has two school-age children and a limited sup-
port system. Which of the following is the priority
nursing action?
A. Inform the client of available community resources
B. Assist the client in finding child care options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the
diagnosis
7.
2
, ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
2. A nurse in an emergency department is assessing a Clear fluid drainage from
client who has a nasal fracture. Which of the following the nares
findings should cause the nurse to suspect a skull
fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry
8. 3. A nurse in an urgent care clinic is collecting admis- Profuse milky white dis-
sion history from a client who is at 16 weeks of ges- charge
tation and has bacterial vaginosis. The nurse should
recognize that which of the following clinical findings
are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria
9. 4. A nurse is discussing the z-track administration of This technique decreases
hydroxyzine with a newly licensed nurse. Which of the risk of subcutaneous
the following statements indicates the newly licensed infiltration
nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous
infiltration
C. This technique allows a larger amount of medica-
tion to be injected
D. This technique increases the absorption rate of the
drug
10. Dry the newborn
3
, ATI Comprehensive A CAPSTONE
ATI Comprehensive A CAPSTONE
Study online at https://quizlet.com/_fovfos
10. A nurse is caring for a full-term newborn imme-
diately following birth. Which of the following actions
should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the
newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn
11. 11. A nurse is planning to provide community edu- Clients who have a histo-
cation about viral hepatitis. Which of the following ry of viral hepatitis are un-
should the nurse plan to include in the teaching? able to donate blood
A. A series of four hepatitis vaccines is recommended
to prevent viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are
unable to donate blood
12. 12. A nurse in a residential mental health facility is Work with the client to cre-
planning care for a new client who has obsessive com- ate a flexible daily sched-
pulsive disorder. Which of the following is appropriate ule
for the nurse to include in the plan of care?
A. Work with the client to create a flexible daily sched-
ule
B. Gradually decrease the time allowed for ritualistic
behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive
thoughts
13. Malnutrition
4
