RN ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2019 B EXAM |QUESTIONS
AND ANSWERS |100 % PASS| SOLUTION A+ GRADE| LATEST UPDATE
A nurse is teaching a bout adverse effects with a client who is s tarting to take captopril.
Which of the following findings should the nurse identify a s an adverse effect of the
medication to report to the provider?
Cough
This is due to the buildup of bradykinin in the lungs. The client should report this to the
provider.
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm
Hg. and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the
following acid-base imbalances?
Respiratory acidosis
A client who has respiratory acidosis will have decreased pH below the expected reference
range of 7.35-7.45, an increased PaCO2 above the expected reference range of 35-45 mm
Hg, and an HCO3 within the expected reference range of 22-26 mEq/L.
A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6
months to treat juvenile i diopathic arthritis. Which of the following questions should the
nurse ask to assess for an a dverse effect of this med?
,“Have you had any stomach pain or bloody stools?”
These are an indication of gastrointestinal bleeding, an adverse effect of ibuprofen.
A nurse in a pediatric unit has received a change-of-shift report for four children. Which of
the following children should the nurse assess first?
A 10-year-old child who is awaiting surgery f or an appendectomy and experienced sudden
relief from pain.
Using the urgent vs nonurgent approach to client care, the nurse should determine that the
client to assess first is the child awaiting an appendectomy who suddenly experiences pain
relief as this can be an i ndication of peritonitis from a ruptured appendix. The nurse
should notify the provider immediately.
,A nurse on an inpatient u nit is caring for a client who has schizophrenia and recently started
taking risperidone. Which of the following actions should the nurse take?
Implement fall precautions for the client.
Risperidone can cause orthostatic hypotension and dizziness, which can lead to falls. The
nurse should initiate fall precautions for the client.
A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse
should identify which o f the following physiological changes is the cause of the client’s
visual loss?
Increased opacity of the lens
A cataract is a cloudy or opaque area in the lens o f the eye that inhibits light penetration.
A nurse is caring for a c lient following a vacuum-assisted birth. The nurse should monitor the
client for which of the following complications related to vacuum-assisted birth?
Cervical laceration
Complications are perineal, vaginal, or cervical lacerations.
A nurse is updating the plan of care for a client who is 48 hr. post-op following a
laryngectomy and is unable to speak. W hich of the following actions should the nurse
plan to take first?
Determine the client’s reading skills
Using the nursing process to assess the client, determine the client’s level of reading skills
and cognition. The nurse can best provide the client with a variety of customized
techniques to practice and use after verbal skills are lost.
A nurse is caring for a s chool-aged child who has dehydration and is receiving an oral
rehydration solution. Which of the following lab results indicates that the treatment
regimen is effective?
Serum sodium 138 mEq/L
, Sodium Mlevel Mof M138 MmEq/L, Mis Mwithin Mthe Mexpected Mreference Mrange Mof M136-145 MmEq/L
Mand Mis Man Mindication Mthat Mthe Mchild Mis Mresponding Mto Mthe Moral Mrehydration Msolution.
A Mschool Mnurse Mis Mnotified Mof Man Memergency Min Mwhich Mseveral Mchildren Mwere Minjured
Mfollowing Mthe Mcollapse Mof Mplayground Me Mquipment. MUpon Marrival Mat Mthe Mplayground,
Mwhich Mof Mthe Mfollowing Mactions Mshould Mthe Mnurse Mtake Mf Mirst?
Survey Mthe Mscene Mfor Mpotential Mhazards Mto Mstaff Mand Mchildren.
Using Mthe Mnursing Mprocess, Massess Mthe Msituation. MBy Ms Murveying Mthe Mscene, Mthe Mnurse
Mcan Midentify Mpotential Mhazards Mto Mstaff Mand Mchildren. MThese Mfindings Mallow Mthe Mnurse
Mand Mstaff Mto Menter Mthe Mscene Mand Msafely Mprovide Mcare Mto Minjured Mchildren Mand Mhelp
Mdecrease Mthe Mrisk Mof Mfurther Minjury.
A Mnurse Min Man MED Mis Mcaring Mfor Ma Mclient Mwho Mis Munconscious Mand Mrequires Memergency
Mmedical Mprocedures. MThe Mnurse Mis Munable Mto Mlocate Mmembers Mof Mthe Mclient’s Mfamily
Mto Mobtain Mconsent. MWhich Mof Mthe Mfollowing Ma Mctions Mshould Mthe Mnurse Mtake?
Proceed Mwith Mprovision Mfor Mmedical Mcare.
When Ma Mclient Mis Munable Mto Mgive Minformed Mconsent Min Man Memergency, Mhealth Mcare
Mpersonnel Mcan Mproceed Mwith Mnecessary Mlife-saving Mcare Mbecause Mthe Mlaw Mconsiders
Mthis Mimplied Mconsent.
A Mnurse Mis Mcaring Mfor Ma Ms Mchool-aged Mchild Mwho Mis Mtaking Mvalproic Macid. MThe Mnurse
Mshould Mexpect Mthe Mprovider Mto Morder Mw Mhich Mof Mthe Mfollowing Mdiagnostic Mtests?
Serum Mliver Menzyme Mlevels.
Valproic Macid Mcan Mcause Mhepatic Mtoxicity. MThe Mnurse Mshould Mexpect Mthe Mprovider Mto
Mprescribe Mlab Mtests Mto Massess Mthe Mchild’s Mliver Mfunction Mprior Mto Mand Mperiodically
Mduring Mtherapy.
A Mnurse Mmanager Mis Mpreparing Mto Mteach Ma Mgroup Mof Mnewly Mlicensed Mnurses Mabout
Meffective Mtime Mmanagement. MWhich Mo Mf Mthe Mfollowing Msteps Mof Mthe Mtime
Mmanagement Mprocess Mshould Mthe Mnurse Mmanager Minclude Mas Mt Mhe Mpriority?
Making Ma Mlist Mof Mactivities Mto Mcomplete.
AND ANSWERS |100 % PASS| SOLUTION A+ GRADE| LATEST UPDATE
A nurse is teaching a bout adverse effects with a client who is s tarting to take captopril.
Which of the following findings should the nurse identify a s an adverse effect of the
medication to report to the provider?
Cough
This is due to the buildup of bradykinin in the lungs. The client should report this to the
provider.
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm
Hg. and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the
following acid-base imbalances?
Respiratory acidosis
A client who has respiratory acidosis will have decreased pH below the expected reference
range of 7.35-7.45, an increased PaCO2 above the expected reference range of 35-45 mm
Hg, and an HCO3 within the expected reference range of 22-26 mEq/L.
A nurse in a provider’s office is assessing an adolescent who has been taking ibuprofen for 6
months to treat juvenile i diopathic arthritis. Which of the following questions should the
nurse ask to assess for an a dverse effect of this med?
,“Have you had any stomach pain or bloody stools?”
These are an indication of gastrointestinal bleeding, an adverse effect of ibuprofen.
A nurse in a pediatric unit has received a change-of-shift report for four children. Which of
the following children should the nurse assess first?
A 10-year-old child who is awaiting surgery f or an appendectomy and experienced sudden
relief from pain.
Using the urgent vs nonurgent approach to client care, the nurse should determine that the
client to assess first is the child awaiting an appendectomy who suddenly experiences pain
relief as this can be an i ndication of peritonitis from a ruptured appendix. The nurse
should notify the provider immediately.
,A nurse on an inpatient u nit is caring for a client who has schizophrenia and recently started
taking risperidone. Which of the following actions should the nurse take?
Implement fall precautions for the client.
Risperidone can cause orthostatic hypotension and dizziness, which can lead to falls. The
nurse should initiate fall precautions for the client.
A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse
should identify which o f the following physiological changes is the cause of the client’s
visual loss?
Increased opacity of the lens
A cataract is a cloudy or opaque area in the lens o f the eye that inhibits light penetration.
A nurse is caring for a c lient following a vacuum-assisted birth. The nurse should monitor the
client for which of the following complications related to vacuum-assisted birth?
Cervical laceration
Complications are perineal, vaginal, or cervical lacerations.
A nurse is updating the plan of care for a client who is 48 hr. post-op following a
laryngectomy and is unable to speak. W hich of the following actions should the nurse
plan to take first?
Determine the client’s reading skills
Using the nursing process to assess the client, determine the client’s level of reading skills
and cognition. The nurse can best provide the client with a variety of customized
techniques to practice and use after verbal skills are lost.
A nurse is caring for a s chool-aged child who has dehydration and is receiving an oral
rehydration solution. Which of the following lab results indicates that the treatment
regimen is effective?
Serum sodium 138 mEq/L
, Sodium Mlevel Mof M138 MmEq/L, Mis Mwithin Mthe Mexpected Mreference Mrange Mof M136-145 MmEq/L
Mand Mis Man Mindication Mthat Mthe Mchild Mis Mresponding Mto Mthe Moral Mrehydration Msolution.
A Mschool Mnurse Mis Mnotified Mof Man Memergency Min Mwhich Mseveral Mchildren Mwere Minjured
Mfollowing Mthe Mcollapse Mof Mplayground Me Mquipment. MUpon Marrival Mat Mthe Mplayground,
Mwhich Mof Mthe Mfollowing Mactions Mshould Mthe Mnurse Mtake Mf Mirst?
Survey Mthe Mscene Mfor Mpotential Mhazards Mto Mstaff Mand Mchildren.
Using Mthe Mnursing Mprocess, Massess Mthe Msituation. MBy Ms Murveying Mthe Mscene, Mthe Mnurse
Mcan Midentify Mpotential Mhazards Mto Mstaff Mand Mchildren. MThese Mfindings Mallow Mthe Mnurse
Mand Mstaff Mto Menter Mthe Mscene Mand Msafely Mprovide Mcare Mto Minjured Mchildren Mand Mhelp
Mdecrease Mthe Mrisk Mof Mfurther Minjury.
A Mnurse Min Man MED Mis Mcaring Mfor Ma Mclient Mwho Mis Munconscious Mand Mrequires Memergency
Mmedical Mprocedures. MThe Mnurse Mis Munable Mto Mlocate Mmembers Mof Mthe Mclient’s Mfamily
Mto Mobtain Mconsent. MWhich Mof Mthe Mfollowing Ma Mctions Mshould Mthe Mnurse Mtake?
Proceed Mwith Mprovision Mfor Mmedical Mcare.
When Ma Mclient Mis Munable Mto Mgive Minformed Mconsent Min Man Memergency, Mhealth Mcare
Mpersonnel Mcan Mproceed Mwith Mnecessary Mlife-saving Mcare Mbecause Mthe Mlaw Mconsiders
Mthis Mimplied Mconsent.
A Mnurse Mis Mcaring Mfor Ma Ms Mchool-aged Mchild Mwho Mis Mtaking Mvalproic Macid. MThe Mnurse
Mshould Mexpect Mthe Mprovider Mto Morder Mw Mhich Mof Mthe Mfollowing Mdiagnostic Mtests?
Serum Mliver Menzyme Mlevels.
Valproic Macid Mcan Mcause Mhepatic Mtoxicity. MThe Mnurse Mshould Mexpect Mthe Mprovider Mto
Mprescribe Mlab Mtests Mto Massess Mthe Mchild’s Mliver Mfunction Mprior Mto Mand Mperiodically
Mduring Mtherapy.
A Mnurse Mmanager Mis Mpreparing Mto Mteach Ma Mgroup Mof Mnewly Mlicensed Mnurses Mabout
Meffective Mtime Mmanagement. MWhich Mo Mf Mthe Mfollowing Msteps Mof Mthe Mtime
Mmanagement Mprocess Mshould Mthe Mnurse Mmanager Minclude Mas Mt Mhe Mpriority?
Making Ma Mlist Mof Mactivities Mto Mcomplete.
