RN ATI CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT B EXAM
SCRIPT 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◍ Associated manifestation of Hypocalcemia - Positive Trousseau's sign
◍ Associated manifestation of Hyperkalemia - ECG with tall, peaked t-
waves
◍ Associated manifestation of Hyponatremia - Bounding pulse
◍ Associated manifestation of Hypokalemia - Hypoactive bowel sounds
◍ The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek - 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 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 - a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
◍ Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Scheduled for a Thoracentesis - 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 - 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.
◍ A nurse is reviewing information with a client who is scheduled for
pulmonary function tests. Which of the following statements should the
nurse make?
COMPREHENSIVE ASSESSMENT B EXAM
SCRIPT 2026 COMPLETE QUESTIONS AND
ANSWERS GRADED A+
◍ Associated manifestation of Hypocalcemia - Positive Trousseau's sign
◍ Associated manifestation of Hyperkalemia - ECG with tall, peaked t-
waves
◍ Associated manifestation of Hyponatremia - Bounding pulse
◍ Associated manifestation of Hypokalemia - Hypoactive bowel sounds
◍ The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek - 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 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 - a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and
diarrhea, and muscle twitching are manifestations of hypocalcemia.
◍ Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Scheduled for a Thoracentesis - 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 - 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.
◍ A nurse is reviewing information with a client who is scheduled for
pulmonary function tests. Which of the following statements should the
nurse make?
