RN ATI capstone proctored comprehensive assessment 2019 B | ATI
Comprehensive Practice Test B
1. A nurse is assessing a client who has COPD. Which of the following
findings should the nurse expect?: pH 7.31
2. A nurse in a community center is providing an educational session to a
group of clients about ovarian cancer. Which of the following
manifestationsof ovarian cancer should the nurse include in the
teaching?: Abdominal bloating
3. A nurse is caring for a client who has active tuberculosis (TB). Which
of the following actions should the nurse plan to take to prevent the
trans-mission of the disease?: Have the client wear a surgical mask while
being transported outside the room.
4. A nurse is caring for a group of clients. Which of the following clients
should the nurse attend to first?: An older adult client who is anxious and
attempting to pull out an IV line
5. 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
situationsshould the nurse intervene?: The LPN and the AP grasp the client
under his arms to lift him up in bed.
6. A nurse is preparing to administer insulin to a client via a pen device.
Which of the following actions should the nurse take?: Hold the insulin
pendevice perpendicular to the client's skin to inject the medication.
7. A nurse is caring for a client who has immunosuppression and a continu-
ous IV infusion. Which of the following actions should the nurse take?:
Mon-itor the client's mouth every 8 hr.
8. A nurse is providing teaching about advanced directives to a middle adult
client. Which of the following client responses indicates an understanding
ofthe teaching?: "I can designate my partner as my health care surrogate."
9. A nurse is assessing a client following a vaginal delivery and notes heavy
lochia and a boggy fundus. Which of the following medications should
the nurse expect to administer?: Oxytocin
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?: Seeks input from the other nurs-
es
,1. A nurse is assigning task roles for a group of clients in a community
mental health clinic. Which of the following tasks should the nurse assign
tothe member of the group functioning as the orienteer?: Noting the
progress ofthe group toward assigned goals
2. A nurse is creating a plan of care for a newly admitted child. Which of the
following actions should the nurse include in the plan?: Administer high-
doseantibiotic therapy.
3. A nurse is caring for a newborn immediately after delivery. Which of the
following interventions should the nurse implement to prevent heat loss
byconduction.: Use a protective cover on the scale when weighing the infant.
4. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which
of the following actions is the nurse's priority?: Assist with deep breathing
andcoughing.
5. A nurse in an outpatient mental health clinic is caring for four clients. The
nurse should recognize that which of the following clients is effectively
using sublimation as a defense mechanism?: A client who channels their
energy intoa new hobby following the loss of their job
6. 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?: Aspirate contents from the tube and verify the pH
level.
7. An antepartum nurse is caring for four clients. For which of the following
clients should the nurse initiate seizure precautions?: A client who is at 33
weeks of gestation and has sever gestational hypertension
8. A nurse is providing discharge teaching to a client who is to receive home
oxygen therapy. Which of the following instructions should the nurse
includein the teaching?: Wear clothing made with cotton fabrics while oxygen
is in use.
9. A nurse is providing teaching for a client who has a fracture of the right
fibula with a short-leg cast in place and a new prescription for crutches.
The client is non-weight-bearing for 6 weeks. Which of the following
instructions should the nurse include in the teaching?: Use a three-point
gait.
A nurse is preparing to transfer a client from the ICU to the medical floor.
The client was recently weaned from mechanical ventilation followinga
pneumonectomy. Which of the following information should the nurse
, include in the change-of-shift report?: The time of the client's last dose of pain
medication
10. A nurse is assessing a client who received 2 units of packed
RBCs 48 hrago. Which of the following findings should indicate to the
nurse that the therapy has been effective?: Hemoglobin 14.9 g/dL
11. A nurse working in an emergency department is triaging four
clients. Which of the following clients should the nurse recommend for
treatmentfirst?: A middle adult client who has unstable vital signs
12. A nurse is caring for a client who has fluid volume overload.
Which ofthe following tasks should the nurse delegate to an assistive
personnel(AP)?: Measure the client's daily weight.
13. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5
min asa test dose to a client who has severe oliguria. The client weighs 198
lb. Whatis the amount in grams the nurse should administer?: 18 g
14. A nurse is conducting a physical examination for an adolescent
and isassessing the range of motion of the legs. Which of the following
imagesindicates the adolescent is abducting the hip joint?: D
15. A nurse is caring for a client who has hyperthyroidism.
Which of thefollowing findings should the nurse expect?: Tremors
16. A nurse is assessing a school-age child who has bacterial
meningitis.Which of the following findings should the nurse expect?:
Nuchal rigidity
17. A nurse is assessing a newborn's heart rate. Which of the following
actionsshould the nurse take?: Auscultate the apical pulse at least 1 min.
18. 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?-
: Instruct the client to avoid coughing during the procedure.
19. A nurse in the emergency department is assessing a
preschooler whohas a facial laceration. The nurse should identify which
of the following findings as a potential indication of child sexual
abuse?: The child exhibitsdiscomfort while walking.
20. A nurse is preparing to teach about dietary management to a
client whohas Crohn's disease and an enteroenteric fistula. Which of the
following nutrients should the nurse instruct the client to decrease in their
diet?: Fiber
Comprehensive Practice Test B
1. A nurse is assessing a client who has COPD. Which of the following
findings should the nurse expect?: pH 7.31
2. A nurse in a community center is providing an educational session to a
group of clients about ovarian cancer. Which of the following
manifestationsof ovarian cancer should the nurse include in the
teaching?: Abdominal bloating
3. A nurse is caring for a client who has active tuberculosis (TB). Which
of the following actions should the nurse plan to take to prevent the
trans-mission of the disease?: Have the client wear a surgical mask while
being transported outside the room.
4. A nurse is caring for a group of clients. Which of the following clients
should the nurse attend to first?: An older adult client who is anxious and
attempting to pull out an IV line
5. 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
situationsshould the nurse intervene?: The LPN and the AP grasp the client
under his arms to lift him up in bed.
6. A nurse is preparing to administer insulin to a client via a pen device.
Which of the following actions should the nurse take?: Hold the insulin
pendevice perpendicular to the client's skin to inject the medication.
7. A nurse is caring for a client who has immunosuppression and a continu-
ous IV infusion. Which of the following actions should the nurse take?:
Mon-itor the client's mouth every 8 hr.
8. A nurse is providing teaching about advanced directives to a middle adult
client. Which of the following client responses indicates an understanding
ofthe teaching?: "I can designate my partner as my health care surrogate."
9. A nurse is assessing a client following a vaginal delivery and notes heavy
lochia and a boggy fundus. Which of the following medications should
the nurse expect to administer?: Oxytocin
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?: Seeks input from the other nurs-
es
,1. A nurse is assigning task roles for a group of clients in a community
mental health clinic. Which of the following tasks should the nurse assign
tothe member of the group functioning as the orienteer?: Noting the
progress ofthe group toward assigned goals
2. A nurse is creating a plan of care for a newly admitted child. Which of the
following actions should the nurse include in the plan?: Administer high-
doseantibiotic therapy.
3. A nurse is caring for a newborn immediately after delivery. Which of the
following interventions should the nurse implement to prevent heat loss
byconduction.: Use a protective cover on the scale when weighing the infant.
4. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which
of the following actions is the nurse's priority?: Assist with deep breathing
andcoughing.
5. A nurse in an outpatient mental health clinic is caring for four clients. The
nurse should recognize that which of the following clients is effectively
using sublimation as a defense mechanism?: A client who channels their
energy intoa new hobby following the loss of their job
6. 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?: Aspirate contents from the tube and verify the pH
level.
7. An antepartum nurse is caring for four clients. For which of the following
clients should the nurse initiate seizure precautions?: A client who is at 33
weeks of gestation and has sever gestational hypertension
8. A nurse is providing discharge teaching to a client who is to receive home
oxygen therapy. Which of the following instructions should the nurse
includein the teaching?: Wear clothing made with cotton fabrics while oxygen
is in use.
9. A nurse is providing teaching for a client who has a fracture of the right
fibula with a short-leg cast in place and a new prescription for crutches.
The client is non-weight-bearing for 6 weeks. Which of the following
instructions should the nurse include in the teaching?: Use a three-point
gait.
A nurse is preparing to transfer a client from the ICU to the medical floor.
The client was recently weaned from mechanical ventilation followinga
pneumonectomy. Which of the following information should the nurse
, include in the change-of-shift report?: The time of the client's last dose of pain
medication
10. A nurse is assessing a client who received 2 units of packed
RBCs 48 hrago. Which of the following findings should indicate to the
nurse that the therapy has been effective?: Hemoglobin 14.9 g/dL
11. A nurse working in an emergency department is triaging four
clients. Which of the following clients should the nurse recommend for
treatmentfirst?: A middle adult client who has unstable vital signs
12. A nurse is caring for a client who has fluid volume overload.
Which ofthe following tasks should the nurse delegate to an assistive
personnel(AP)?: Measure the client's daily weight.
13. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5
min asa test dose to a client who has severe oliguria. The client weighs 198
lb. Whatis the amount in grams the nurse should administer?: 18 g
14. A nurse is conducting a physical examination for an adolescent
and isassessing the range of motion of the legs. Which of the following
imagesindicates the adolescent is abducting the hip joint?: D
15. A nurse is caring for a client who has hyperthyroidism.
Which of thefollowing findings should the nurse expect?: Tremors
16. A nurse is assessing a school-age child who has bacterial
meningitis.Which of the following findings should the nurse expect?:
Nuchal rigidity
17. A nurse is assessing a newborn's heart rate. Which of the following
actionsshould the nurse take?: Auscultate the apical pulse at least 1 min.
18. 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?-
: Instruct the client to avoid coughing during the procedure.
19. A nurse in the emergency department is assessing a
preschooler whohas a facial laceration. The nurse should identify which
of the following findings as a potential indication of child sexual
abuse?: The child exhibitsdiscomfort while walking.
20. A nurse is preparing to teach about dietary management to a
client whohas Crohn's disease and an enteroenteric fistula. Which of the
following nutrients should the nurse instruct the client to decrease in their
diet?: Fiber
