ALL ATI CAPSTONE PROCTORED UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ a nurse working in an emergency department is triaging four
clients. which of the following clients should the nurse recommend
for treatment first? Answer: a middle adult client who has unstable
vital signs
◉ 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? Answer: measure the client's daily weight
◉ a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over
5 min as a test dose to a client who has severe oliguria. The client
weighs 198 lb. what is the amount in grams the nurse should
administer? Answer: 18 g
◉ a nurse is conducting a physical examination for an adolescent
and is assessing the rang of motion of the legs, which of the
following images indicates the adolescent is abducting the hip joint?
Answer: Moving the leg away from the midline of the body (off to the
side, not to the front)
,◉ a nurse is caring for a client who has hyperthyroidism. which of
the following findings should the nurse expect? Answer: tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital
edema
◉ a nurse is assessing a school age child who has bacterial
meningitis. which of the following findings should the nurse expect?
Answer: nuchal rigidity
also weight loss
◉ a nurse is assessing a newborn's heart rate. which of the following
actions should the nurse take? Answer: auscultate the apical pulse at
least 1 min
◉ a nurse is preparing to assist with a thoracentesis for a client who
has pleurisy. the nurse should plan to perform which of the
following actions? Answer: instruct the client to avoid coughing
during the procedure
,◉ a nurse is the emergency department is assessing a preschooler
who has a facial laceration. the nurse should identify which of the
following findings as a potential indication of child sexual abuse?
Answer: the child exhibits discomfort while walking
◉ a nurse is preparing to teach about dietary management to a
client who has crohn's disease and an enteroenteric fistula. which of
the following nutrients should the nurse instruct the client to
decrease in their diet? Answer: fiber - reduce diarrhea and
inflammation
◉ a nurse is caring for a client who has a prescription for a
continuous passive motion CPM machine following a total knee
arthroplasty. which of the following actions should the nurse take?
Answer: Turn off the CPM machine during mealtime
promote client comfort and dietary intake
◉ a nurse is preparing to initiate IV access for an older adult client.
Which of the following sites should the nurse select when initiating
the IV for this client? Answer: radial vein of the inner arm
◉ a nurse is developing a client education program about
osteoporosis for older adult clients. the nurse should include which
of the following variables as a risk factor for osteoporosis? Answer:
sedentary lifestyle
, also, small framed body with a thin build, estrogen deficiency
◉ 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?
Answer: initiate transmission based precautions
◉ a nurse is caring for a client who has a clogged percutaneous
gastrostomy feeding tube. which of the following actions should the
nurse take first? Answer: change the position of the client
◉ 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? Answer: empty the appliance when it is one third
to one half full
◉ a nurse is reviewing the laboratory report of a client who has end
stage kidney disease and received hemodialysis 24 hr ago. Which of
the following laboratory values should the nurse report to the
provider? Answer: sodium 148 mEq/L
◉ a nurse is caring for four clients. which of the following tasks
should the nurse delegate to an assistive personnel? Answer:
Arrange the lunch tray for a client who has a hip fracture
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ a nurse working in an emergency department is triaging four
clients. which of the following clients should the nurse recommend
for treatment first? Answer: a middle adult client who has unstable
vital signs
◉ 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? Answer: measure the client's daily weight
◉ a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over
5 min as a test dose to a client who has severe oliguria. The client
weighs 198 lb. what is the amount in grams the nurse should
administer? Answer: 18 g
◉ a nurse is conducting a physical examination for an adolescent
and is assessing the rang of motion of the legs, which of the
following images indicates the adolescent is abducting the hip joint?
Answer: Moving the leg away from the midline of the body (off to the
side, not to the front)
,◉ a nurse is caring for a client who has hyperthyroidism. which of
the following findings should the nurse expect? Answer: tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital
edema
◉ a nurse is assessing a school age child who has bacterial
meningitis. which of the following findings should the nurse expect?
Answer: nuchal rigidity
also weight loss
◉ a nurse is assessing a newborn's heart rate. which of the following
actions should the nurse take? Answer: auscultate the apical pulse at
least 1 min
◉ a nurse is preparing to assist with a thoracentesis for a client who
has pleurisy. the nurse should plan to perform which of the
following actions? Answer: instruct the client to avoid coughing
during the procedure
,◉ a nurse is the emergency department is assessing a preschooler
who has a facial laceration. the nurse should identify which of the
following findings as a potential indication of child sexual abuse?
Answer: the child exhibits discomfort while walking
◉ a nurse is preparing to teach about dietary management to a
client who has crohn's disease and an enteroenteric fistula. which of
the following nutrients should the nurse instruct the client to
decrease in their diet? Answer: fiber - reduce diarrhea and
inflammation
◉ a nurse is caring for a client who has a prescription for a
continuous passive motion CPM machine following a total knee
arthroplasty. which of the following actions should the nurse take?
Answer: Turn off the CPM machine during mealtime
promote client comfort and dietary intake
◉ a nurse is preparing to initiate IV access for an older adult client.
Which of the following sites should the nurse select when initiating
the IV for this client? Answer: radial vein of the inner arm
◉ a nurse is developing a client education program about
osteoporosis for older adult clients. the nurse should include which
of the following variables as a risk factor for osteoporosis? Answer:
sedentary lifestyle
, also, small framed body with a thin build, estrogen deficiency
◉ 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?
Answer: initiate transmission based precautions
◉ a nurse is caring for a client who has a clogged percutaneous
gastrostomy feeding tube. which of the following actions should the
nurse take first? Answer: change the position of the client
◉ 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? Answer: empty the appliance when it is one third
to one half full
◉ a nurse is reviewing the laboratory report of a client who has end
stage kidney disease and received hemodialysis 24 hr ago. Which of
the following laboratory values should the nurse report to the
provider? Answer: sodium 148 mEq/L
◉ a nurse is caring for four clients. which of the following tasks
should the nurse delegate to an assistive personnel? Answer:
Arrange the lunch tray for a client who has a hip fracture
