ATI PROCTORED CAPSTONE COMPREHENSIVE TEST B
2024 WITH 100% VERIFIED QUESTIONS AND ANSWERS
UNTIL NOW GRADED A
At what age should a child be able to identify left and right? - Age 6
How do you calculate a premature baby's adjusted (developmental) age? - Subtract # of
weeks born premature from chronological age
How often should air be cycled in TB client's room? - Well-ventilated room with 6-12
exchanges of fresh air per minute
A nurse is admitting a client who has cirrhosis. What prescriptions should the nurse
anticipate? - A. Obtain client's PT and INR (cirrhosis prevents liver from producing
clotting factors, increasing hemorrhage risk)
B. Administer lactulose 30 mL PO 4x daily (increase client's stool production to help
eliminate ammonia excess since liver can't get rid of it)
C. Obtain daily weight and abdominal girth measurements (to measure impact of
ascites)
D. Administer a daily multivitamin (cirrhosis leads to deficiency in many vitamins)
What is the defense mechanism of dissociation? - Separating painful events from the
conscious mind and describing them as if they occurred to someone else
A nurse is providing teaching about home care to the parents of a child who has autism
spectrum disorder. What information should the nurse teach? - Use a reward system to
modify child's behavior because it can provide structure and expectations for behavior
What is the task of the orienteer in community health projects? - Noting progress toward
assigned goals
What is chlorpromazine used for? - Antipsychotic med used to decrease hallucinations
and other manifestations of schizophrenia
What are the S/S of cataracts? - Difficulty seeing during day and esp. at night, halos
around lights, or glare sensitivity
,What is an antiparkinsonism med used to treat extrapyramidal manifestations (such as
mask-like face expression and involuntary movements and tremors) that occur with
chlorpromazine therapy (used for schizophrenia)? - Amantadine
What is flail chest? S/S? - It is a life-threatening condition that involves two or more
fractures of adjacent ribs - This causes a flail segment to move in the opposite direction
of the other ribs, causing trauma and contusions.
S/S: paradoxical chest movement, dyspnea, and cyanosis
S/S of a respiratory obstruction - Intercostal retractions and a high-pitched inspiratory
noise (i.e. stridor). Plan to administer racemic epinephrine.
A nurse is caring for a child who has electrical burns on the lower arms and hands.
What indicates the child is experiencing a complication of the injury? - Dark urine. -
indicates myoglobinuria which results from the elimination of waste products from
muscle damage and can cause renal failure.
A nurse is preparing to administer iron dextran IV to a client. What should the nurse do?
- Administer a small test dose before giving the full dose b/c it can demonstrate if
anaphylaxis will occur w/o giving the full dose.
How long should a new plaster cast feel damp and smell musty? - 24-72 hours after
application until drying is complete
Nonstress test - A method of measuring the HR of a fetus in response to its own
movements to evaluate oxygenation (healthy babies will respond with increased HR
during times of movement and decrease HR at rest). Positive test is HR within normal
ranges which indicates adequate oxygenation
client presses a button whenever they feel fetal movement which allows nurse to assess
FHR in relationship to the fetal movement
What is the defense mechanism of displacement? - Transfer of feelings from one target
to another that is less threatening (angry at dr - takes it out on RN)
What is the defense mechanism of projection? - the shifting one's own unacceptable
thoughts, feelings or actions onto someone else in an attempt to avoid feelings of guilt,
shame or regret. For example, if you were cheating on your spouse, but accused your
spouse of cheating on you.
How do you know if the fetal heart rate is healthy in a nonstress test? - Results of test
are positive
What causes impetigo and what is one teaching consideration? - Bacteria
(staphylococci or streptococci). Parents should wash child's clothes in hot water to kill
, the bacteria as well as keep towels and washcloths separate from rest of house
members
What is a potentially negative outcome associated with use of phototherapy in a
newborn? - Dehydration. The light used emits heat and can result in water loss. Infant's
temp., fluid intake, and urine output should be monitored carefully.
What's the minimum fluid a client should drink to prevent constipation - 1500 mL
A nurse is providing teaching to an older adult client who has constipation. What should
the nurse include in the teaching? - Sit on the toilet 30 min. after eating a meal b/c
increased peristalsis occurs after food enters the stomach and helps retrain bowels to
treat constipation.
What is creatinine clearance? - a measure of glomerular function and an indicator for
renal disease progression (NORMAL IS 87-139 mL/min.)
it is a 24 HOUR URINE COLLECTION. The test must be started again if all urine in the
24 hours period is not collected when the test begins, the first urine is taken and thrown
away
What are cluster headaches? - a type of severe headache that tends to recur over a
period of several weeks and in which the pain (cyclical or CLUSTER periods)-usually
limited to one side of the head.
manifested by brief (30 minutes - 2 hours) intense, unilateral pain that general occurs in
the spring and fall without warning; less common than migraines; typically develop in
men between 20-50 years of age
What adverse effects should be expected from sumatriptan? - Sensations of chest
pressure and heavy arms (transient)
How does alcohol cause liver cirrhosis? - Alcohol causes liver inflammation and cell
destruction that causes nonfunctional scar tissue and fibrosis to replace necrotic liver
cells
What does sensation of heat on surface of cast mean? - Client's skin feels hot
immediately after medication because of a chemical reaction in the casting materials.
How do you determine a client's level of consciousness? - The Glasgow Coma Scale
What is black cohosh used for? - Herb used for treatment of menopausal symptoms
such as hot flashes, vaginal dryness, irritability, and sleep disturbance
What are the manifestations of Fifth disease? - Starts with birght red cheeks, producing
a "slapped-cheek" appearance. Then, a rash appears on the extremities and trunk
which fades centrally, giving a lacy (reticulated) appearance
2024 WITH 100% VERIFIED QUESTIONS AND ANSWERS
UNTIL NOW GRADED A
At what age should a child be able to identify left and right? - Age 6
How do you calculate a premature baby's adjusted (developmental) age? - Subtract # of
weeks born premature from chronological age
How often should air be cycled in TB client's room? - Well-ventilated room with 6-12
exchanges of fresh air per minute
A nurse is admitting a client who has cirrhosis. What prescriptions should the nurse
anticipate? - A. Obtain client's PT and INR (cirrhosis prevents liver from producing
clotting factors, increasing hemorrhage risk)
B. Administer lactulose 30 mL PO 4x daily (increase client's stool production to help
eliminate ammonia excess since liver can't get rid of it)
C. Obtain daily weight and abdominal girth measurements (to measure impact of
ascites)
D. Administer a daily multivitamin (cirrhosis leads to deficiency in many vitamins)
What is the defense mechanism of dissociation? - Separating painful events from the
conscious mind and describing them as if they occurred to someone else
A nurse is providing teaching about home care to the parents of a child who has autism
spectrum disorder. What information should the nurse teach? - Use a reward system to
modify child's behavior because it can provide structure and expectations for behavior
What is the task of the orienteer in community health projects? - Noting progress toward
assigned goals
What is chlorpromazine used for? - Antipsychotic med used to decrease hallucinations
and other manifestations of schizophrenia
What are the S/S of cataracts? - Difficulty seeing during day and esp. at night, halos
around lights, or glare sensitivity
,What is an antiparkinsonism med used to treat extrapyramidal manifestations (such as
mask-like face expression and involuntary movements and tremors) that occur with
chlorpromazine therapy (used for schizophrenia)? - Amantadine
What is flail chest? S/S? - It is a life-threatening condition that involves two or more
fractures of adjacent ribs - This causes a flail segment to move in the opposite direction
of the other ribs, causing trauma and contusions.
S/S: paradoxical chest movement, dyspnea, and cyanosis
S/S of a respiratory obstruction - Intercostal retractions and a high-pitched inspiratory
noise (i.e. stridor). Plan to administer racemic epinephrine.
A nurse is caring for a child who has electrical burns on the lower arms and hands.
What indicates the child is experiencing a complication of the injury? - Dark urine. -
indicates myoglobinuria which results from the elimination of waste products from
muscle damage and can cause renal failure.
A nurse is preparing to administer iron dextran IV to a client. What should the nurse do?
- Administer a small test dose before giving the full dose b/c it can demonstrate if
anaphylaxis will occur w/o giving the full dose.
How long should a new plaster cast feel damp and smell musty? - 24-72 hours after
application until drying is complete
Nonstress test - A method of measuring the HR of a fetus in response to its own
movements to evaluate oxygenation (healthy babies will respond with increased HR
during times of movement and decrease HR at rest). Positive test is HR within normal
ranges which indicates adequate oxygenation
client presses a button whenever they feel fetal movement which allows nurse to assess
FHR in relationship to the fetal movement
What is the defense mechanism of displacement? - Transfer of feelings from one target
to another that is less threatening (angry at dr - takes it out on RN)
What is the defense mechanism of projection? - the shifting one's own unacceptable
thoughts, feelings or actions onto someone else in an attempt to avoid feelings of guilt,
shame or regret. For example, if you were cheating on your spouse, but accused your
spouse of cheating on you.
How do you know if the fetal heart rate is healthy in a nonstress test? - Results of test
are positive
What causes impetigo and what is one teaching consideration? - Bacteria
(staphylococci or streptococci). Parents should wash child's clothes in hot water to kill
, the bacteria as well as keep towels and washcloths separate from rest of house
members
What is a potentially negative outcome associated with use of phototherapy in a
newborn? - Dehydration. The light used emits heat and can result in water loss. Infant's
temp., fluid intake, and urine output should be monitored carefully.
What's the minimum fluid a client should drink to prevent constipation - 1500 mL
A nurse is providing teaching to an older adult client who has constipation. What should
the nurse include in the teaching? - Sit on the toilet 30 min. after eating a meal b/c
increased peristalsis occurs after food enters the stomach and helps retrain bowels to
treat constipation.
What is creatinine clearance? - a measure of glomerular function and an indicator for
renal disease progression (NORMAL IS 87-139 mL/min.)
it is a 24 HOUR URINE COLLECTION. The test must be started again if all urine in the
24 hours period is not collected when the test begins, the first urine is taken and thrown
away
What are cluster headaches? - a type of severe headache that tends to recur over a
period of several weeks and in which the pain (cyclical or CLUSTER periods)-usually
limited to one side of the head.
manifested by brief (30 minutes - 2 hours) intense, unilateral pain that general occurs in
the spring and fall without warning; less common than migraines; typically develop in
men between 20-50 years of age
What adverse effects should be expected from sumatriptan? - Sensations of chest
pressure and heavy arms (transient)
How does alcohol cause liver cirrhosis? - Alcohol causes liver inflammation and cell
destruction that causes nonfunctional scar tissue and fibrosis to replace necrotic liver
cells
What does sensation of heat on surface of cast mean? - Client's skin feels hot
immediately after medication because of a chemical reaction in the casting materials.
How do you determine a client's level of consciousness? - The Glasgow Coma Scale
What is black cohosh used for? - Herb used for treatment of menopausal symptoms
such as hot flashes, vaginal dryness, irritability, and sleep disturbance
What are the manifestations of Fifth disease? - Starts with birght red cheeks, producing
a "slapped-cheek" appearance. Then, a rash appears on the extremities and trunk
which fades centrally, giving a lacy (reticulated) appearance
