ATI CAPSTONE FINAL EXAM
COMPREHENSIVE REVIEW QUESTIONS
AND VERIFIED ANSWERS |GRADE A+|
JUST RELEASED
1. A nurse is caring for a client who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take?
A. Perform passive range of motion to the affected hip.
B. Maintain the client’s hip at 120 degrees of flexion.
C. Instruct the client to cross their legs when sitting.
D. Place a pillow between the client’s legs when turning.
Answer: D
Conceptual Explanation: To prevent hip dislocation after a total hip arthroplasty, the
client should maintain the hip in abduction. Placing a pillow between the legs helps
maintain this position. Flexion beyond 90 degrees and crossing legs are contraindicated.
2. A nurse is reviewing the laboratory results of a client who is receiving heparin by
continuous IV infusion. Which of the following results should the nurse report to the
provider?
A. Platelets 95,000/mm3
,B. aPTT 65 seconds
C. Hgb 14 g/dL
D. INR 1.1
Answer: A
Conceptual Explanation: A platelet count of 95,000/mm3 is below the reference range
and may indicate heparin-induced thrombocytopenia (HIT), a serious complication that
requires immediate intervention.
3. A nurse in a mental health facility is caring for a client who has schizophrenia and is
experiencing auditory hallucinations. Which of the following responses should the nurse
make?
A. “I don’t hear anything, but I can see you are frightened.”
B. “Why do you think the voices are talking to you?”
C. “The voices are not real; you are having a hallucination.”
D. “I understand the voices sound real to you, but I do not hear them.”
Answer: D
Conceptual Explanation: This response acknowledges the client’s feelings while
presenting reality without being dismissive or challenging the client’s experience.
, 4. A nurse is assessing a client who has a chest tube connected to a water-seal drainage
system. Which of the following findings should the nurse report to the provider?
A. Continuous bubbling in the water-seal chamber.
B. Fluctuation of the water level with inspiration and expiration.
C. 50 mL of serosanguineous drainage in the collection chamber.
D. Consistent tidaling in the water-seal chamber.
Answer: A
Conceptual Explanation: Continuous bubbling in the water-seal chamber indicates an air
leak in the system, which needs to be addressed immediately. Fluctuations (tidaling) are
normal.
5. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should indicate to the nurse to withhold the medication?
A. Blood pressure 110/70 mmHg
B. Heart rate 52/min
C. Potassium 4.2 mEq/L
D. Digoxin level 0.8 ng/mL
Answer: B
Conceptual Explanation: Digoxin should be withheld if the apical pulse is less than
60/min in an adult, as it can further decrease the heart rate (bradycardia).
COMPREHENSIVE REVIEW QUESTIONS
AND VERIFIED ANSWERS |GRADE A+|
JUST RELEASED
1. A nurse is caring for a client who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take?
A. Perform passive range of motion to the affected hip.
B. Maintain the client’s hip at 120 degrees of flexion.
C. Instruct the client to cross their legs when sitting.
D. Place a pillow between the client’s legs when turning.
Answer: D
Conceptual Explanation: To prevent hip dislocation after a total hip arthroplasty, the
client should maintain the hip in abduction. Placing a pillow between the legs helps
maintain this position. Flexion beyond 90 degrees and crossing legs are contraindicated.
2. A nurse is reviewing the laboratory results of a client who is receiving heparin by
continuous IV infusion. Which of the following results should the nurse report to the
provider?
A. Platelets 95,000/mm3
,B. aPTT 65 seconds
C. Hgb 14 g/dL
D. INR 1.1
Answer: A
Conceptual Explanation: A platelet count of 95,000/mm3 is below the reference range
and may indicate heparin-induced thrombocytopenia (HIT), a serious complication that
requires immediate intervention.
3. A nurse in a mental health facility is caring for a client who has schizophrenia and is
experiencing auditory hallucinations. Which of the following responses should the nurse
make?
A. “I don’t hear anything, but I can see you are frightened.”
B. “Why do you think the voices are talking to you?”
C. “The voices are not real; you are having a hallucination.”
D. “I understand the voices sound real to you, but I do not hear them.”
Answer: D
Conceptual Explanation: This response acknowledges the client’s feelings while
presenting reality without being dismissive or challenging the client’s experience.
, 4. A nurse is assessing a client who has a chest tube connected to a water-seal drainage
system. Which of the following findings should the nurse report to the provider?
A. Continuous bubbling in the water-seal chamber.
B. Fluctuation of the water level with inspiration and expiration.
C. 50 mL of serosanguineous drainage in the collection chamber.
D. Consistent tidaling in the water-seal chamber.
Answer: A
Conceptual Explanation: Continuous bubbling in the water-seal chamber indicates an air
leak in the system, which needs to be addressed immediately. Fluctuations (tidaling) are
normal.
5. A nurse is preparing to administer digoxin to a client who has heart failure. Which of the
following findings should indicate to the nurse to withhold the medication?
A. Blood pressure 110/70 mmHg
B. Heart rate 52/min
C. Potassium 4.2 mEq/L
D. Digoxin level 0.8 ng/mL
Answer: B
Conceptual Explanation: Digoxin should be withheld if the apical pulse is less than
60/min in an adult, as it can further decrease the heart rate (bradycardia).
