ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024

ATI RN capstone proctored comprehensive assessment 2019 B Test Questions and Answers |100% Verified Answers LATEST UPDATE 2023 / 2024 A nurse is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions isthe 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 infectionC The priority action the nurse should take when using the airway, breathing, circulation approach to clientcare is to assist the client with deep breathing and coughing, which reduces the risk for postoperative pneumonia. A nurse istalking with a client who has stage IV breast cancer. The nurse should recognize which of thefollowing 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 mycommunity D. I used to mistrust my doctor, but now I know that she is the best one to care for me during my illnessC Thisstatement indicates that the client is using the constructive defense mechanism sublimation bydevising a socially acceptable alternative to facing a reality that she does not wish to accept. A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of thefollowing 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 hoursC A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD). Which of the followingareas should the nurse assess for manifestations of HD? A. Eyes area B. Chest area C. Lower abdominal area 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 thebaby's colon A nurse at a mental health clinic is caring for four clients. The nurse should recognize that which of thefollowing clients is using dissociation as a defense mechanism? A.A client forgets to buy their partner a birthday gift after 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 isshorter 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 themB A nurse working in an emergency department is triaging four clients. Which of the following clientsshould 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 clientsshould the nurse recommend for treatment first? D 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 thefollowing 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 upstairsB A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should thenurse 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 handA A nurse is planning to delegate client care tasks to an assistive personnel. Which of the following tasksshould the nurse plan to delegate to the AP? A. Perform gastrostomy feedingsthrough 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 pressureA A nurse is caring for a newborn immediately after delivery. Which of the following interventions shouldthe nurse implement to prevent heat loss by conduction? A.Dry the newborn immediately after birth B. Maintain an ambient room temp of 24 celcius C. Use a protective cover on the scale when weighing the infant D. Place the newborns bassinet away from outside windowsC Conduction is the process of losing heat through physical contact with another object or body. For example, if you were to sit on a metal chair, the heat from your body would transfer to the cold metalchair.