Practice 2019 B with NGN / RN
ATI Capstone Proctored
Comprehensive Assessment
2019 B/ ATI Comprehensive 2019
B QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+
,An antepartum nurse is caring for four clients. For which of
the following clients should the nurse initiate seizure
precautions?
A client who is at 33 weeks of gestation and has severe
gestational hypertension
A client who is at 16 weeks of gestation and has a
hydatidiform mole
A client who is at 28 weeks of gestation and is experiencing
vaginal bleeding
A client who is at 36 weeks of gestation and has a positive
group B streptococcal culture - CORRECT ANSWER-A client
who is at 33 weeks of gestation and has severe gestational
hypertension
A nurse is caring for a client who is receiving positive end-
expiratory pressure (PEEP) via mechanical ventilation. The
nurse should monitor the client for which of the following
adverse effects of PEEP?
,Hypoxemia
Tension pneumothorax
Malignant hypertension
Atelectasis - CORRECT ANSWER-Tension pneumothorax
The nurse should identify that tension pneumothorax is a
possible adverse effect of PEEP. The nurse should monitor
the client's lung sounds hourly for indications of a tension
pneumothorax, such as tracheal deviation, absent breath
sounds, and distended neck veins.
A nurse is providing information to a client immediately
before his scheduled Romberg test. Which of the following
statements should the nurse make?
"You will be standing with your feet 1 foot apart."
"You will place and hold your hands on your hips."
, "I will be standing across the room from you to evaluate your
sense of balance."
"I will be checking you once with your eyes open and once
with them closed." - CORRECT ANSWER-"I will be checking
you once with your eyes open and once with them closed."
The nurse should inform the client that the Romberg test will
be performed once with eyes open and once with eyes
closed. A Romberg test is performed to assess balance and
motor function.
A nurse is caring for a client who is postoperative following
administration of general anesthesia. - CORRECT ANSWER-
Upon recognizing and analyzing the client cues of
tachycardia, tachypnea, hypotension, and irregular heart
rhythm, the nurse's priority hypothesis should be that this
client is most likely experiencing malignant hyperthermia
and that it is important to generate solutions and
take actions that will correct dysrhythmias, provide oxygen
to tissues, correct electrolyte imbalances, and reverse
metabolic and respiratory acidosis.