ATI RN CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT (UPDATED
2024) NGN QUESTIONS WITH 100% VERIFIED
ANSWERS
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
. If a client develops cor pulmonale (right-sided heart failure), the caregiver
would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. - ANSWER3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The caregiver should consider the assignments appropriate if
the nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with feeding.
2. a client with osteoporosis complaining of burning on urination.
3. a client with scleroderma receiving a tube feeding.
4. a client with cancer who has Cheyne-Stokes respirations. - ANSWER1
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
the caregiver expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. - ANSWER4
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the caregiver, would
indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves. - ANSWER1
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
found by the caregiver at the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. - ANSWER1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the caregiver, "Milk is coming out of
my breasts." Which of the following responses by the caregiver is
BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." - ANSWER3
A 69-year-old client is undergoing his second exchange of intermittent
peritoneal dialysis (IPD). Which of the following would require an
intervention by the caregiver?
1. The client complains of pain during the inflow of the dialysate.
2. The client complains of constipation.
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid around the intra-abdominal catheter. - ANSWER3
A charge caregiver is discussing the responsibility of caregivers carig for clients who have C. difficile.
Which of the following information should the caregiver include in the teaching?
a) Assign the client to a room with a negative air-flow system
b) Use alcohol-based hand sanitizer when leaving the clients room
c) clean contaminated surfaces in the clients room with a phenol solution
d) have family members wear a gown and gloves when visiting - ANSWERD
A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure
the client's safety while walking in the halls, the caregiver should do which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the need to walk.
2. Assess the client's gait for steadiness.
3. Restrain the client in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. - ANSWER2
A client has a history of oliguria, hypertension, and peripheral edema.
Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be
restricted in the client's diet?
1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. - ANSWER1
a client has a new prescription for spironilactone ( aldactone ) which of the following laboratory value
should the caregiver recognized as a reason to withhold the morning dose of the medication and notify
the provider - ANSWERserum potassium 5.2
a client has prescription for valproic ( Depakote) which of the following laboratory value should the
caregiver anticipate monitor for the client taking this medication - ANSWERthrombocytes, amylase count
and liver function test
A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the caregiver
would expect to find rebound tenderness at which location?
a) Left lower quadrant
b) Left upper quadrant
c) Right upper quadrant
d) Right lower quadrant - ANSWERD
A client is being discharged with sublingual nitroglycerin (Nitrostat).
The client should be cautioned by the caregiver to
1. take the medication five minutes after the pain has started.
2. stop taking the medication if a stinging sensation is absent.
3. take the medication on an empty stomach.
4. avoid abrupt changes in posture. - ANSWER4
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the caregiver observes the
following: pulse 68, respirations 8, BP 100/68, client sleeping quietly.
Which of the following nursing actions is MOST appropriate?
, ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
1. Allow the client to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANSWER3
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the caregiver should assess for which of
the following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ANSWER4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The caregiver would
determine that the medication is appropriate if the client displays which of
the following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ANSWER3
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - ANSWER1
a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - ANSWERbenzodiazepine
overdose
a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole
( Mirapex) for which of the following should the caregiver monitor this client - ANSWERorthostatic
hypotension
a client who is start taking lithium carbonate month ago tell the caregiver she has just begun taking
multiply daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or
why not ? - ANSWERwhat , if any is the appropriate action for the caregiver to take NSAIDS such as
ibuprofen increase the renal reabsorption of lithium carbonate , possibly leading to lithium carbonate
toxicity . therefor this client would avoid NSAIDS . the caregiver should notify the provider of client
headache and ibuprofen us
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the caregiver about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ANSWER4
A client with newly diagnosed type I diabetes mellitus is being seen by
the home health caregiver. The physician orders include: 1,200-calorie
ADA diet, 15 units of NPH insulin before breakfast, and check blood
sugar qid.
COMPREHENSIVE ASSESSMENT (UPDATED
2024) NGN QUESTIONS WITH 100% VERIFIED
ANSWERS
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
. If a client develops cor pulmonale (right-sided heart failure), the caregiver
would expect to observe
1. increasing respiratory difficulty seen with exertion.
2. cough productive of a large amount of thick, yellow mucus.
3. peripheral edema and anorexia.
4. twitching of extremities. - ANSWER3
. The nursing team includes two RNs, one LPN/LVN, and one nursing
assistant. The caregiver should consider the assignments appropriate if
the nursing assistant is assigned to care for
1. a client with Alzheimer's requiring assistance with feeding.
2. a client with osteoporosis complaining of burning on urination.
3. a client with scleroderma receiving a tube feeding.
4. a client with cancer who has Cheyne-Stokes respirations. - ANSWER1
A 23-year-old man is admitted with a subdural hematoma and cerebral
edema after a motorcycle accident. Which of the following symptoms should
the caregiver expect to see INITIALLY?
1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Grand mal seizures.
4. Decreased level of consciousness. - ANSWER4
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the caregiver, would
indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves. - ANSWER1
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if
found by the caregiver at the patient's bedside, is nonessential?
1. Potassium chloride for IV administration.
2. Calcium gluconate for IV administration.
3. Tracheostomy set-up.
4. Suction equipment. - ANSWER1
A 59-year-old woman with bipolar disorder is receiving haloperidol
(Haldol) 2 mg PO tid. She tells the caregiver, "Milk is coming out of
my breasts." Which of the following responses by the caregiver is
BEST?
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication." - ANSWER3
A 69-year-old client is undergoing his second exchange of intermittent
peritoneal dialysis (IPD). Which of the following would require an
intervention by the caregiver?
1. The client complains of pain during the inflow of the dialysate.
2. The client complains of constipation.
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid around the intra-abdominal catheter. - ANSWER3
A charge caregiver is discussing the responsibility of caregivers carig for clients who have C. difficile.
Which of the following information should the caregiver include in the teaching?
a) Assign the client to a room with a negative air-flow system
b) Use alcohol-based hand sanitizer when leaving the clients room
c) clean contaminated surfaces in the clients room with a phenol solution
d) have family members wear a gown and gloves when visiting - ANSWERD
A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure
the client's safety while walking in the halls, the caregiver should do which of the following?
1. Administer PRN haloperidol (Haldol) to decrease the need to walk.
2. Assess the client's gait for steadiness.
3. Restrain the client in a geriatric chair.
4. Administer PRN lorazepam (Ativan) to provide sedation. - ANSWER2
A client has a history of oliguria, hypertension, and peripheral edema.
Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be
restricted in the client's diet?
1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. - ANSWER1
a client has a new prescription for spironilactone ( aldactone ) which of the following laboratory value
should the caregiver recognized as a reason to withhold the morning dose of the medication and notify
the provider - ANSWERserum potassium 5.2
a client has prescription for valproic ( Depakote) which of the following laboratory value should the
caregiver anticipate monitor for the client taking this medication - ANSWERthrombocytes, amylase count
and liver function test
A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the caregiver
would expect to find rebound tenderness at which location?
a) Left lower quadrant
b) Left upper quadrant
c) Right upper quadrant
d) Right lower quadrant - ANSWERD
A client is being discharged with sublingual nitroglycerin (Nitrostat).
The client should be cautioned by the caregiver to
1. take the medication five minutes after the pain has started.
2. stop taking the medication if a stinging sensation is absent.
3. take the medication on an empty stomach.
4. avoid abrupt changes in posture. - ANSWER4
A client is given morphine 6 mg IV push for postoperative pain.
Following administration of this drug, the caregiver observes the
following: pulse 68, respirations 8, BP 100/68, client sleeping quietly.
Which of the following nursing actions is MOST appropriate?
, ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
1. Allow the client to sleep undisturbed.
2. Administer oxygen via facemask or nasal prongs.
3. Administer naloxone (Narcan).
4. Place epinephrine 1:1,000 at the bedside. - ANSWER3
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the caregiver should assess for which of
the following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ANSWER4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The caregiver would
determine that the medication is appropriate if the client displays which of
the following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ANSWER3
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - ANSWER1
a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - ANSWERbenzodiazepine
overdose
a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole
( Mirapex) for which of the following should the caregiver monitor this client - ANSWERorthostatic
hypotension
a client who is start taking lithium carbonate month ago tell the caregiver she has just begun taking
multiply daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or
why not ? - ANSWERwhat , if any is the appropriate action for the caregiver to take NSAIDS such as
ibuprofen increase the renal reabsorption of lithium carbonate , possibly leading to lithium carbonate
toxicity . therefor this client would avoid NSAIDS . the caregiver should notify the provider of client
headache and ibuprofen us
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the caregiver about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ANSWER4
A client with newly diagnosed type I diabetes mellitus is being seen by
the home health caregiver. The physician orders include: 1,200-calorie
ADA diet, 15 units of NPH insulin before breakfast, and check blood
sugar qid.
