ATI CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT
FORM A EXAM WITH CORRECT
ANSWERS 2025
A nurse is assisting a provider with the removal of a chest tube. Which of
the following actions should the nurse take?
a.Instruct the client to lie prone with arms by the sides
b.Complete a surgical checklist on the client
c. Remind the client that there is minimal discomfort during the removal
process
d.Place an occlusive dressing over the site once the tube is removed
( correct answers ) d. Place an occlusive dressing over the site
once the tube is removed
Observe the site for drainage.
A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following supplies should the nurse ensure are in the
clients room? SATA
e.Oxygen equipment
f. Incentive spirometer
g.Pulse oximeter
h.Sterile dressing
i. Suture removal kit ( correct answers ) a, c, d
j. Oxygen equipment for SOB
k. Pulse ox to monitor ox sat during procedure
d. Sterile dressing to apply to the puncture site
Associated manifestation of Hypokalemia ( correct answers )
Hypoactive bowel sounds
The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
l. Apply a BP cuff to the client's arm
m.Place a stethoscope bell over the client's carotid artery
n.Ask the client to lower their chin to their chest
o.Tap lightly on the client's cheek( correct answers ) d. Tap lightly on
the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign. A positive sign = Facial twitching on the side of the
GRADED
A+
face
, The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
a.Tingling in fingers
b.Poor skin turgor
c. Abdominal pain
d.Elevated temperature
e.Muscle twitching ( correct answers ) a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
Associated manifestation of Hypocalcemia ( correct answers ) Positive
Trousseau's sign
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Scheduled for a Thoracentesis ( correct answers ) Preprocedure:
-Percussion, auscultation, radiography, or sonography is used to locate
the effusion and needle insertion site.
- Assist the older client to maintain still for the procedure
-Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs
well-supported.
- Remain stills, no coughing or talking
Intraprocedure:
- Aseptic technique
- Monitor VS, skin color, and ox sat
-Amount of fluid removed is limited to 1L at a time to prevent re-
expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
Thoracentesis ( correct answers ) Thoracentesis is the surgical
perforation of the chest wall and pleural space with a large-bore needle.
It is performed to obtain specimens for diagnostic evaluation, instill
medication into the pleural space, and remove fluid or air from the
pleural space for therapeutic relief of pleural pressure.
Associated manifestation of Hyponatremia ( correct answers )
Bounding pulse
GRADED
A+
COMPREHENSIVE ASSESSMENT
FORM A EXAM WITH CORRECT
ANSWERS 2025
A nurse is assisting a provider with the removal of a chest tube. Which of
the following actions should the nurse take?
a.Instruct the client to lie prone with arms by the sides
b.Complete a surgical checklist on the client
c. Remind the client that there is minimal discomfort during the removal
process
d.Place an occlusive dressing over the site once the tube is removed
( correct answers ) d. Place an occlusive dressing over the site
once the tube is removed
Observe the site for drainage.
A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following supplies should the nurse ensure are in the
clients room? SATA
e.Oxygen equipment
f. Incentive spirometer
g.Pulse oximeter
h.Sterile dressing
i. Suture removal kit ( correct answers ) a, c, d
j. Oxygen equipment for SOB
k. Pulse ox to monitor ox sat during procedure
d. Sterile dressing to apply to the puncture site
Associated manifestation of Hypokalemia ( correct answers )
Hypoactive bowel sounds
The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
l. Apply a BP cuff to the client's arm
m.Place a stethoscope bell over the client's carotid artery
n.Ask the client to lower their chin to their chest
o.Tap lightly on the client's cheek( correct answers ) d. Tap lightly on
the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign. A positive sign = Facial twitching on the side of the
GRADED
A+
face
, The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
a.Tingling in fingers
b.Poor skin turgor
c. Abdominal pain
d.Elevated temperature
e.Muscle twitching ( correct answers ) a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
Associated manifestation of Hypocalcemia ( correct answers ) Positive
Trousseau's sign
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Scheduled for a Thoracentesis ( correct answers ) Preprocedure:
-Percussion, auscultation, radiography, or sonography is used to locate
the effusion and needle insertion site.
- Assist the older client to maintain still for the procedure
-Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs
well-supported.
- Remain stills, no coughing or talking
Intraprocedure:
- Aseptic technique
- Monitor VS, skin color, and ox sat
-Amount of fluid removed is limited to 1L at a time to prevent re-
expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
Thoracentesis ( correct answers ) Thoracentesis is the surgical
perforation of the chest wall and pleural space with a large-bore needle.
It is performed to obtain specimens for diagnostic evaluation, instill
medication into the pleural space, and remove fluid or air from the
pleural space for therapeutic relief of pleural pressure.
Associated manifestation of Hyponatremia ( correct answers )
Bounding pulse
GRADED
A+
