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Exam (elaborations)

RN ATI Capstone Proctored Comprehensive Assessment 2024 B/ ATI Comprehensive 2024 B

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RN ATI Capstone Proctored Comprehensive Assessment 2024 B/ ATI Comprehensive 2024 B

Institution
RN ATI Capstone
Course
RN ATI Capstone











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Institution
RN ATI Capstone
Course
RN ATI Capstone

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Uploaded on
February 12, 2024
Number of pages
50
Written in
2023/2024
Type
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RN ATI Capstone Proctored Comprehensive Assessment
2024 B/ ATI Comprehensive 2024 B
A charge nurse at a long-term care facility ensures that the workload is distributed
equally among staff when making assignments. Wh
following ethical principles is the nurse upholding?

justice

veracity

Autonomy

Fidelity - ANSjustice

A charge nurse is observing a newly licensed nurse administer an enteral feeding to a
client who has an established gastrostomy tube. Which of the following actions by the
newly licensed nurse indicates that the charge nurse should intervene?

The nurse administers 15 mL of water before administering the feeding.

The nurse adds food coloring to the tube feeding.

The nurse checks the volume of the aspirate
.
The nurse checks the pH of the aspirate. - ANSThe nurse adds food coloring to the tube
feeding.

A newly-licensed nurse tells another nurse that their password has expired and asks for
assistance with inputting data into a client's electronic medical record. Which of the
following statements should the nurse make?

You won't be able to input any data until you reset your password."

You can use my password on another terminal, but just this one time.

If you'd like to give me the data, I can enter it for you."

The charge nurse can log on for you and watch you input the data. - ANSYou won't be
able to input any data until you reset your password."

A nurse at a long-term care facility is caring for a client who has AIDS. The client
accidentally spills the contents of their urinal on the floor. After cleaning up the spill with
soap and water, the nurse should apply a solution of water and which of the following
disinfectants to the floor?

Chlorhexidine

,RN ATI Capstone Proctored Comprehensive Assessment
2024 B/ ATI Comprehensive 2024 B
Bleach

Hydrogen peroxide

Isopropyl alcohol - ANSBleach

A nurse at a pediatric clinic is checking the vital signs of a 2-week-old infant. Which of
the following findings is outside of the expected reference range?

Apical heart rate 124/min

Axillary temperature 36.6° C (97.9° F)

BP 64/42 mm Hg

Respiratory rate 68/min - ANSBP 64/42 mm Hg

A nurse in a provider's office is reinforcing teaching with a client about performing
testicular self-examination. Which of the following instructions should the nurse include?

"Palpate both testicles firmly with your fingertips.

Apply a cool compress to the scrotum prior to examination.

Perform the self-examination every 3 months.

Examine your testicles after a warm shower." - ANSExamine your testicles after a warm
shower."

A nurse is administering the inactivated influenza vaccine to a group of clients at a
health clinic. The nurse should recognize that which of the following conditions is a
contraindication for this vaccine?

Allergy to gelatin

immunosuppression

Moderate illness with fever

Pregnancy - ANSModerate illness with fever

A nurse is assisting with the admission of a client to an acute-care unit following a
suicide attempt. Which of the following actions should the nurse take first?

Assign the client to a semi-private room.

,RN ATI Capstone Proctored Comprehensive Assessment
2024 B/ ATI Comprehensive 2024 B

Attend an interdisciplinary team meeting.

Document the client's mood and affect.

Search the client's personal belongings. - ANSSearch the client's personal belongings.

A nurse is assisting with the admission of a client who is scheduled for surgery. Which
of the following actions should the nurse take?

Explain to the client that signing the facility's consent form means they cannot refuse
care.

Confirm with the client's family that the consent form has been signed.

Delay the admission while the client fills out the facility's advance directives form.

Determine if the client has prepared their advance directives. - ANSConfirm with the
client's family that the consent form has been signed

A nurse is assisting with the care of a client who is in labor with ruptured membranes
and has herpes simplex virus with active lesioi
the following actions should the nurse take?

Administer ampicillin IV to the client.

initiate an oxytocin Infusion for the dient.

Begin an amnioinfusion for the client.

Prepare the client for a cesarean birth. - ANSPrepare the client for a cesarean birth.

A nurse is assisting with the care of a client who is receiving 1 unit of packed RBs. The
client is coughing and reports a headache and difficulty
breathing. The client's vital signs indicate tachycardia and hypertension. The nurse
should identify that the client is experiencing which of the following types of transfusion
reactions?

Mild allergic

Febrile nonnemolytic

Sepsis

Circulatory overload - ANSSepsis

, RN ATI Capstone Proctored Comprehensive Assessment
2024 B/ ATI Comprehensive 2024 B

A nurse is caring for a client at a follow-up visit who has been taking lithium therapy for
bipolar disorder. Which of the following findings should
indicate to the nurse that the client is experiencing lithium toxicity?

Dysrhythmia

Urinary retention

Hypoglycemia

Excess salivation - ANSExcess salivation

A nurse is caring for a client who has a compound fracture of the femur. Which of the
following findings should the nurse report to the provider as a manifestation of a fat
embolism?

Pulses 2+ distal to the client's fracture

Petechia over the client's chest

Report of pain as 6 on a scale of O to 10

Bruising around the fracture site - ANSPetechia over the client's chest

A nurse is caring for a client who has dementia and is at risk for falls. Which of the
following preventive measures should the nurse take?

Position the client's bedside table at the foot of the bed.

Place the client's bed in the low position.

Encourage the client to wear socks when ambulating.

Raise the four side rails on the client's bed. - ANSPlace the client's bed in the low
position.

A nurse is caring for a client who has heart failure and is taking furosemide. Which of
the following statements by the client indicates a need for the nurse to intervene?


I suck on hard candy for my dry mouth."

I'm urinating in larger amounts."

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