RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2024
FORM A AND B REAL QUESTIONS AND ANSWERS
QN. A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago. Which of the
. following findings should indicate to the nurse that the therapy has been effective?
ANS Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a decreased
level of hemoglobin or hematocrit. This hemoglobin level is within the expected reference range
of 14 to 18 g/dl for males and 12 to 16 g/dl for females, indicating the therapy has been effective.
QN. A nurse working in a n emergency department is triaging four clients. Which of the following
. clients should the nurse recommend for treatment first?
ANS A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend priority
treatment for the client who has unstable vital signs because this client requires immediate
treatment to reduce the risk of further injury or possible death.
QN. A nurse is caring for a client who has fluid volume overload. Which of the following tasks should
. the nurse delegate to the CNA?
ANS Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse should
delegate this task to them.
QN.
A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client
.
who has severe oliguria. The client weighs 198lb. What is the amount in grams the nurse should
administer?
ANS 18g
QN.
.
, A nurse is conducting a physical examination for an adolescent and is assessing the range of
motion of the legs. Which of the following images indicates the adolescent is abducting the hip
joint?
ANS In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
QN. A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the
. nurse expect?
ANS Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis, weight loss,
insomnia, and exophthalmia.
QN. A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following
. findings should the nurse expect?
ANS Nuchal rigidity
This is a manifestation of bacterial meningitis.
QN. A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take?
.
ANS Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart rate and
rhythm. Auscultation of a newborn’s heart sounds can be difficult because of the rapid rate and
the transmission of respiratory sounds.
QN. 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?
ANS Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
QN.
.
, A nurse in the ED is assessing a preschooler who has a facial laceration. The nurse should identify
which of the following findings as a potential indication of child sexual abuse?
ANS The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual abuse.
QN. A nurse is preparing to teach about dietary management to a client who has Crohn’s disease and
. an entero enteric fistula. Which of the following nutrients should the nurse instruct the client to
decrease in their diet?
ANS Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
inflammation.
QN.
A nurse is caring for a client who has a prescription for a continuous passive motion (CPM)
.
machine following a total knee arthroplasty. Which of the following actions should the nurse take?
ANS Turn off the CPM machine during mealtime. This promotes client comfort and dietary
intake.
QN.
. 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 the client?
ANS Radial vein of the inner arm.
This site will have adequate subcutaneous tissue
QN. A nurse is developing a client education program a bout osteoporosis for older adult clients. The
. nurse should include which of the following variables as a risk factor for osteoporosis?
ANS Sedentary lifestyle.
This is a risk factor for osteoporosis. The nurse should encourage older adult clients to engage in
weight-bearing exercises because they will promote bone health by increasing calcium and
phosphorus levels.
QN. A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on the trunk and
. extremities. Which of the following interventions should the nurse identify as the priority?
ANS Initiate transmission-based precautions
FORM A AND B REAL QUESTIONS AND ANSWERS
QN. A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago. Which of the
. following findings should indicate to the nurse that the therapy has been effective?
ANS Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients who have a decreased
level of hemoglobin or hematocrit. This hemoglobin level is within the expected reference range
of 14 to 18 g/dl for males and 12 to 16 g/dl for females, indicating the therapy has been effective.
QN. A nurse working in a n emergency department is triaging four clients. Which of the following
. clients should the nurse recommend for treatment first?
ANS A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should recommend priority
treatment for the client who has unstable vital signs because this client requires immediate
treatment to reduce the risk of further injury or possible death.
QN. A nurse is caring for a client who has fluid volume overload. Which of the following tasks should
. the nurse delegate to the CNA?
ANS Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight, so the nurse should
delegate this task to them.
QN.
A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client
.
who has severe oliguria. The client weighs 198lb. What is the amount in grams the nurse should
administer?
ANS 18g
QN.
.
, A nurse is conducting a physical examination for an adolescent and is assessing the range of
motion of the legs. Which of the following images indicates the adolescent is abducting the hip
joint?
ANS In the correct image, the adolescent is abduction the hip joint by moving the leg away
from the midline of the body.
QN. A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the
. nurse expect?
ANS Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis, weight loss,
insomnia, and exophthalmia.
QN. A nurse is assessing a school-aged child who has bacterial meningitis. Which of the following
. findings should the nurse expect?
ANS Nuchal rigidity
This is a manifestation of bacterial meningitis.
QN. A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take?
.
ANS Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heart rate and
rhythm. Auscultation of a newborn’s heart sounds can be difficult because of the rapid rate and
the transmission of respiratory sounds.
QN. 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?
ANS Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
QN.
.
, A nurse in the ED is assessing a preschooler who has a facial laceration. The nurse should identify
which of the following findings as a potential indication of child sexual abuse?
ANS The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual abuse.
QN. A nurse is preparing to teach about dietary management to a client who has Crohn’s disease and
. an entero enteric fistula. Which of the following nutrients should the nurse instruct the client to
decrease in their diet?
ANS Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce diarrhea and
inflammation.
QN.
A nurse is caring for a client who has a prescription for a continuous passive motion (CPM)
.
machine following a total knee arthroplasty. Which of the following actions should the nurse take?
ANS Turn off the CPM machine during mealtime. This promotes client comfort and dietary
intake.
QN.
. 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 the client?
ANS Radial vein of the inner arm.
This site will have adequate subcutaneous tissue
QN. A nurse is developing a client education program a bout osteoporosis for older adult clients. The
. nurse should include which of the following variables as a risk factor for osteoporosis?
ANS Sedentary lifestyle.
This is a risk factor for osteoporosis. The nurse should encourage older adult clients to engage in
weight-bearing exercises because they will promote bone health by increasing calcium and
phosphorus levels.
QN. A nurse in an ED is caring for a child who has a fever and fluid-filled vesicles on the trunk and
. extremities. Which of the following interventions should the nurse identify as the priority?
ANS Initiate transmission-based precautions
