ATI PROCTORED CAPSTONE
COMPREHENSIVE TEST BANK Q & A
2022/2023 FINAL EXAM GUARANTEED
SUCCESS DOWNLOAD A+
,1.A nurse is caring for a client who had abdominal surgery 24 hours ago. Which
of the following actions is the priority?
A.Assess fluid intake every 24 hours
B.Ambulate three times a day
C.Assist with deep breathing and coughing
D.Monitor the incision site for findings of infection
ANS C
The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to assist the client with deep breathing and
coughing, which reduces the risk for postoperative pneumonia.
2.A nurse is talking with a client who has stage IV breast cancer. The nurse
should recognize which of the following statements by the client as a
constructive use of a defense mechanism?
A.I have experienced physical discomfort when intimate with my partner
since my diagnosis
B.I wish other women would stop socializing with my partner
C.I told my doctor that I would like to start a support group for other
women who are sick in my community
D.I used to mistrust my doctor, but now I know that she is the best one to
care for me during my illness
ANS C
This statement indicates that the client is using the constructive defense
mechanism sublimation by devising a socially acceptable alternative to facing a
reality that she does not wish to accept.
,3.A nurse is caring for a client who has immunosuppression and a continuous
IV infusion. Which of the following actions should the nurse take?
A.Assess the clients IV site every 8 hours
B.Check the clients WBC count every 48 hours
C.Monitor the clients mouth every 8 hours
D.Change the clients IV tubing every 48 hours C
4.A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD?
A. Eyes area
B.Chest area
C.Lower abdominal area
ANS C
Hirschsprung disease is a condition that affects the large intestine (colon) and
causes problems with passing stool. This is present at birth (congenital) as a
result of missing nerve cells in the muscle of the baby's colon
5.A nurse at a mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is using dissociation as a defense
mechanism?
A.A client forgets to buy their partner a birthday gif afer a disagreement
B.A client who was abused as a child describes the abuse as if it happened to
someone else.
C.A client who is shorter than average is verbally assertive with coworkers
D.A client states that they did not get a job promotion because
the boss did not like them
ANS B
, 6.A nurse working in an emergency department is triaging four clients. Which
of the following clients should the nurse recommend for treatment first?
A.An older adult client who reports constipation of 4 days
B.A preschooler who has a skin rash
C.An adolescent who has a closed fracture
D. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment
first?
ANS D
7.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?
A.Adjust the crutches for comfort as needed
B.Use a three-point gait.
C.Wear leather soled shoes
D.Advance the affected leg first when walking upstairs
ANS B
8.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?
A.Radial vein of the inner arm
B.Great saphenous vein of the leg
C.Dorsal plexus vein of the foot
D.Basilic vein of the hand
ANS A
9.A nurse is planning to delegate client care tasks to an assistive personnel.
Which of the following tasks should the nurse plan to delegate to the AP?
A.Perform gastrostomy feedings through a clients established gastrostomy
tube
B.Administer glycerin suppository to a client who is constipated
C.Provide instructions about client care to a family member over the telephone
D.Teach a client how to measure their own blood pressure
ANS A
COMPREHENSIVE TEST BANK Q & A
2022/2023 FINAL EXAM GUARANTEED
SUCCESS DOWNLOAD A+
,1.A nurse is caring for a client who had abdominal surgery 24 hours ago. Which
of the following actions is the priority?
A.Assess fluid intake every 24 hours
B.Ambulate three times a day
C.Assist with deep breathing and coughing
D.Monitor the incision site for findings of infection
ANS C
The priority action the nurse should take when using the airway, breathing,
circulation approach to client care is to assist the client with deep breathing and
coughing, which reduces the risk for postoperative pneumonia.
2.A nurse is talking with a client who has stage IV breast cancer. The nurse
should recognize which of the following statements by the client as a
constructive use of a defense mechanism?
A.I have experienced physical discomfort when intimate with my partner
since my diagnosis
B.I wish other women would stop socializing with my partner
C.I told my doctor that I would like to start a support group for other
women who are sick in my community
D.I used to mistrust my doctor, but now I know that she is the best one to
care for me during my illness
ANS C
This statement indicates that the client is using the constructive defense
mechanism sublimation by devising a socially acceptable alternative to facing a
reality that she does not wish to accept.
,3.A nurse is caring for a client who has immunosuppression and a continuous
IV infusion. Which of the following actions should the nurse take?
A.Assess the clients IV site every 8 hours
B.Check the clients WBC count every 48 hours
C.Monitor the clients mouth every 8 hours
D.Change the clients IV tubing every 48 hours C
4.A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD?
A. Eyes area
B.Chest area
C.Lower abdominal area
ANS C
Hirschsprung disease is a condition that affects the large intestine (colon) and
causes problems with passing stool. This is present at birth (congenital) as a
result of missing nerve cells in the muscle of the baby's colon
5.A nurse at a mental health clinic is caring for four clients. The nurse should
recognize that which of the following clients is using dissociation as a defense
mechanism?
A.A client forgets to buy their partner a birthday gif afer a disagreement
B.A client who was abused as a child describes the abuse as if it happened to
someone else.
C.A client who is shorter than average is verbally assertive with coworkers
D.A client states that they did not get a job promotion because
the boss did not like them
ANS B
, 6.A nurse working in an emergency department is triaging four clients. Which
of the following clients should the nurse recommend for treatment first?
A.An older adult client who reports constipation of 4 days
B.A preschooler who has a skin rash
C.An adolescent who has a closed fracture
D. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for treatment
first?
ANS D
7.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?
A.Adjust the crutches for comfort as needed
B.Use a three-point gait.
C.Wear leather soled shoes
D.Advance the affected leg first when walking upstairs
ANS B
8.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?
A.Radial vein of the inner arm
B.Great saphenous vein of the leg
C.Dorsal plexus vein of the foot
D.Basilic vein of the hand
ANS A
9.A nurse is planning to delegate client care tasks to an assistive personnel.
Which of the following tasks should the nurse plan to delegate to the AP?
A.Perform gastrostomy feedings through a clients established gastrostomy
tube
B.Administer glycerin suppository to a client who is constipated
C.Provide instructions about client care to a family member over the telephone
D.Teach a client how to measure their own blood pressure
ANS A
