RN ATI Capstone Proctored Comprehensive
Assessment 2019 B | 100% Correct Verified Q&A |
Comprehensive Nursing Mastery | Pass
Guaranteed - A+ Graded
Q1: 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?
A. Hematocrit of 32%
B. Hemoglobin of 14.9 g/dL
C. Blood pressure of 110/70 mmHg
D. Heart rate of 92 bpm
Correct Answer: B
Rationale: The nurse should identify that packed RBCs are administered to
clients who have a decreased level of hemoglobin or hematocrit. A
hemoglobin level of 14.9 g/dL 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. The other findings do not specifically indicate the effectiveness
of the transfusion.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q2: A nurse in an emergency department is triaging four clients. Which
of the following clients should the nurse recommend for treatment first?
A. A young adult client who has a simple fracture of the ankle
B. A middle adult client who has unstable vital signs
C. An older adult client who has confusion and a fever
D. An adolescent client who has a laceration on the forearm
Correct Answer: B
Rationale: Using the stable vs 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. Unstable vital signs indicate a life-threatening
condition that requires immediate intervention.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q3: A nurse is caring for a client who has fluid volume overload. Which of
the following tasks should the nurse delegate to the CNA?
A. Assess the client's lung sounds
B. Measure the client's daily weight
C. Administer IV furosemide
D. Evaluate the client's intake and output
Correct Answer: B
Rationale: It is within the CNA's range of function to measure a client's daily
weight, so the nurse should delegate this task to them. Assessment,
medication administration, and evaluation of intake and output require
nursing judgment and should be performed by the RN.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q4: A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5
minutes as a test dose to a client who has severe oliguria. The client
weighs 198 lb. What is the amount in grams the nurse should
administer?
A. 18 g
B. 22 g
C. 25 g
D. 30 g
Correct Answer: A
Rationale: First convert pounds to kilograms: 198 lb ÷ 2.2 = 90 kg. Then
calculate the dose: 0.2 g/kg × 90 kg = 18 g. This test dose is given to assess
renal function before initiating full mannitol therapy for severe oliguria.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
,Q5: A nurse is conducting a physical examination for an adolescent and
is assessing the range of motion of the legs. Which of the following
actions indicates the adolescent is abducting the hip joint?
A. Moving the leg toward the midline of the body
B. Moving the leg away from the midline of the body
C. Rotating the leg inward
D. Rotating the leg outward
Correct Answer: B
Rationale: Abduction is the movement of a body part away from the midline
of the body. Moving the leg toward the midline is adduction. Internal and
external rotation involve turning the leg inward or outward, respectively.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q6: A nurse is caring for a client who has hyperthyroidism. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Tremors
C. Weight gain
D. Constipation
Correct Answer: B
Rationale: Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia.
Bradycardia, weight gain, and constipation are manifestations of
hypothyroidism, not hyperthyroidism.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q7: A nurse is assessing a school-aged child who has bacterial
meningitis. Which of the following findings should the nurse expect?
, A. Positive Brudzinski's sign
B. Nuchal rigidity
C. Negative Kernig's sign
D. Hypotension
Correct Answer: B
Rationale: Nuchal rigidity (stiff neck) is a classic manifestation of bacterial
meningitis. Positive Brudzinski's and Kernig's signs are also expected.
Hypotension is not a typical early finding in meningitis.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q8: A nurse is assessing a newborn's heart rate. Which of the following
actions should the nurse take?
A. Palpate the brachial pulse for 30 seconds
B. Auscultate the apical pulse for at least 1 minute
C. Palpate the femoral pulse for 15 seconds
D. Auscultate the apical pulse for 30 seconds
Correct Answer: B
Rationale: 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. A full minute provides the most accurate assessment.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q9: 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?
A. Instruct the client to cough during the procedure
B. Instruct the client to avoid coughing during the procedure
C. Instruct the client to take deep breaths during the procedure
D. Instruct the client to hold their breath for 30 seconds
Assessment 2019 B | 100% Correct Verified Q&A |
Comprehensive Nursing Mastery | Pass
Guaranteed - A+ Graded
Q1: 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?
A. Hematocrit of 32%
B. Hemoglobin of 14.9 g/dL
C. Blood pressure of 110/70 mmHg
D. Heart rate of 92 bpm
Correct Answer: B
Rationale: The nurse should identify that packed RBCs are administered to
clients who have a decreased level of hemoglobin or hematocrit. A
hemoglobin level of 14.9 g/dL 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. The other findings do not specifically indicate the effectiveness
of the transfusion.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q2: A nurse in an emergency department is triaging four clients. Which
of the following clients should the nurse recommend for treatment first?
A. A young adult client who has a simple fracture of the ankle
B. A middle adult client who has unstable vital signs
C. An older adult client who has confusion and a fever
D. An adolescent client who has a laceration on the forearm
Correct Answer: B
Rationale: Using the stable vs 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. Unstable vital signs indicate a life-threatening
condition that requires immediate intervention.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q3: A nurse is caring for a client who has fluid volume overload. Which of
the following tasks should the nurse delegate to the CNA?
A. Assess the client's lung sounds
B. Measure the client's daily weight
C. Administer IV furosemide
D. Evaluate the client's intake and output
Correct Answer: B
Rationale: It is within the CNA's range of function to measure a client's daily
weight, so the nurse should delegate this task to them. Assessment,
medication administration, and evaluation of intake and output require
nursing judgment and should be performed by the RN.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q4: A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5
minutes as a test dose to a client who has severe oliguria. The client
weighs 198 lb. What is the amount in grams the nurse should
administer?
A. 18 g
B. 22 g
C. 25 g
D. 30 g
Correct Answer: A
Rationale: First convert pounds to kilograms: 198 lb ÷ 2.2 = 90 kg. Then
calculate the dose: 0.2 g/kg × 90 kg = 18 g. This test dose is given to assess
renal function before initiating full mannitol therapy for severe oliguria.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
,Q5: A nurse is conducting a physical examination for an adolescent and
is assessing the range of motion of the legs. Which of the following
actions indicates the adolescent is abducting the hip joint?
A. Moving the leg toward the midline of the body
B. Moving the leg away from the midline of the body
C. Rotating the leg inward
D. Rotating the leg outward
Correct Answer: B
Rationale: Abduction is the movement of a body part away from the midline
of the body. Moving the leg toward the midline is adduction. Internal and
external rotation involve turning the leg inward or outward, respectively.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q6: A nurse is caring for a client who has hyperthyroidism. Which of the
following findings should the nurse expect?
A. Bradycardia
B. Tremors
C. Weight gain
D. Constipation
Correct Answer: B
Rationale: Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia.
Bradycardia, weight gain, and constipation are manifestations of
hypothyroidism, not hyperthyroidism.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q7: A nurse is assessing a school-aged child who has bacterial
meningitis. Which of the following findings should the nurse expect?
, A. Positive Brudzinski's sign
B. Nuchal rigidity
C. Negative Kernig's sign
D. Hypotension
Correct Answer: B
Rationale: Nuchal rigidity (stiff neck) is a classic manifestation of bacterial
meningitis. Positive Brudzinski's and Kernig's signs are also expected.
Hypotension is not a typical early finding in meningitis.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q8: A nurse is assessing a newborn's heart rate. Which of the following
actions should the nurse take?
A. Palpate the brachial pulse for 30 seconds
B. Auscultate the apical pulse for at least 1 minute
C. Palpate the femoral pulse for 15 seconds
D. Auscultate the apical pulse for 30 seconds
Correct Answer: B
Rationale: 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. A full minute provides the most accurate assessment.
VERIFIED ✓ ATI Capstone 2019 B Blueprint
Q9: 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?
A. Instruct the client to cough during the procedure
B. Instruct the client to avoid coughing during the procedure
C. Instruct the client to take deep breaths during the procedure
D. Instruct the client to hold their breath for 30 seconds
