RN ATI CAPSTONE PROCTOR
x x x
ED COMPREHENSIVE ASSESS
x x
MENT 2019 B | ATI COMPREHE x x x x x
NSIVE PRACTICETEST B (BES x x x x
T STUDY GUIDE VERSION WIT
x x x x
H COMPLETE SOLUTION)
x x
RN ATI Capstone Proctored Comprehensive Assessment2
x x x x x x
019 B/ ATI Comprehensive 2019 B| RN ATI Capstone Proc
x x x x x x x x x
tored|A Graded|NEW!!! x
, 1
1 .Axnursexisxassessingxaxclientxwhoxreceivedx2xunitsxofxpackedxRBCsx48xhoursxag
o.xWhichxofxthexfollowingxfindingsxshouldxindicatextoxthexnursexthatxthextherapyxhasx
beenxeffective?
Hemoglobinx14.9xg/dl
ThexnursexshouldxidentifyxthatxpackedxRBCsxarexadministeredxtoxclientsxwhoxhavexaxdecrea
sedxlevelxofxhemoglobinxorxhematocrit.xThisxhemoglobinxlevelxisxwithinxthexexpectedxrefere
ncexrangexofx14xtox18xg/dlxforxmalesxandx12xtox16xg/dlxforxfemales,xindicatingxthextherapyxh
asxbeenxeffective.
2 .Axnursexworkingxinxaxnxemergencyxdepartmentxisxtriagingxfourxclients.xWhichxofxt
hexfollowingxclientsxshouldxthexnursexrecommendxforxtreatmentxfirst?
Axmiddlexadultxclientxwhoxhasxunstablexvitalxsigns.
Usingxthexstablexversusxunstablexapproachxtoxclientxcare,xthexnursexshouldxrecommendxp
riorityxtreatmentxforxthexclientxwhoxhasxunstablexvitalxsignsxbecausexthisxclientxrequiresxim
mediatextreatmentxtoxreducexthexriskxofxfurtherxinjuryxorxpossiblexdeath.
3. Axnursexisxcaringxforxaxclientxwhoxhasxfluidxvolumexoverload.xWhichxofxthexf
ollowingxtasksxshouldxthexnursexdelegatextoxthexCNA?
Measurexthexclient’sxdailyxweight
ItxisxwithinxthexCNAsxrangexofxfunctionxtoxmeasurexaxclient’sxdailyxweight,xsoxthexnursexshoul
dxdelegatexthisxtaskxtoxthem.
4. Axnursexisxpreparingxtoxadministerxmannitolx0.2g/kgxIVxbolusxoverx5xminxasxaxtes
txdosextoxaxclientxwhoxhasxseverexoliguria.xThexclientxweighsx198lb.xWhatxisxthexamo
untxinxgramsxthexnursexshouldxadminister?
18xg
5. Axnursexisxconductingxaxphysicalxexaminationxforxanxadolescentxandxisxa
ssessingxthexrangexofxmotionxofxthexlegs.xWhichxofxthexfollowingximagesxin
dicatesxthexadolescentxisxabductingxthexhipxjoint?
Inxthexcorrectximage,xthexadolescentxisxabductionxthexhipxjointxbyxmovingxthexlegxawayxfr
omxthexmidlinexofxthexbody.
6. Axnursexisxcaringxforxaxclientxwhoxhasxhyperthyroidism.xWhichxofxthexfollowingxfi
ndingsxshouldxthexnursexexpect?
Tremors
, 2
Tremorsxarexaxmanifestationxofxhyperthyroidism,xalongxwithxtachycardia,xdiaphoresis,xweig
htxloss,xinsomnia,xandxexophthalmia.
7. Axnursexisxassessingxaxschool-
agedxchildxwhoxhasxbacterialxmeningitis.xWhichxofxthexfollowingxfindingsxshouldxt
hexnursexexpect?
Nuchalxrigidity
Thisxisxaxmanifestationxofxbacterialxmeningitis.
8. Axnursexisxassessingxax newborn’sxheartxrate.xWhichxofxthexfollowingxactionsxs
houldxthexnursextake?
Auscultatexthexapicalxpulsexatxleastx1xmin.
Thexnursexshouldxauscultatexthexapicalxpulsextoxobtainxanxaccuratexassessmentxofxheartxrat
exandxrhythm.xAuscultationxofxaxnewborn’sxheartxsoundsxcanxbexdifficultxbecausexofxthexra
pidxratexandxthextransmissionxofxrespiratoryxsounds.
9. Axnursexisxpreparingxtoxassistxwithxaxthoracentesisxforxaxclientxwhoxhasxpleurisy.xT
hexnursexshouldxplanxtoxperformxwhichxofxthexfollowingxactions?
Instructxthexclientxtoxavoidxcoughingxduringxthexprocedure.
Itxisximportantxforxthexnursextoxremindxthexclientxtoxavoidxcoughingxandxtoxliexstillxduringxaxthoracentesi
sxtoxavoidxpuncturingxthexpleura.
10. AxnursexinxthexEDxisxassessingxaxpreschoolerxwhoxhasxaxfacialxlaceration.xThexn
ursexshouldxidentifyxwhichxofxthexfollowingxfindingsxasxaxpotentialxindicationxofxch
ildxsexualxabuse?
Thexchildxexhibitsxdiscomfortxwhilexwalking.
Thexnursexshouldxidentifyxthisxfindingxasxaxpotentialxindicationxofxchildxsexualxabuse.
11. AxnursexisxpreparingxtoxteachxaboutxdietaryxmanagementxtoxaxclientxwhoxhasxC
rohn’sxdiseasexandxanxenteroxentericxfistula.xWhichxofxthexfollowingxnutrientsxsh
ouldxthexnursexinstructxthexclientxtoxdecreasexinxtheirxdiet?
Fiber
Thexnursexshouldxinstructxthexclientxtoxconsumexaxlow-
fiberxdietxtoxreducexdiarrheaxandxinflammation.
12. Axnursexisxcaringxforxaxclientxwhoxhasxaxprescriptionxforxaxcontinuousxpassivex
motionx(CPM)xmachinexfollowingxaxtotalxkneexarthroplasty.xWhichxofxthexfollowin
gxactionsxshouldxthexnursextake?
TurnxoffxthexCPMxmachinexduringxmealtime.xThi
sxpromotesxclientxcomfortxandxdietaryxintake.
x x x
ED COMPREHENSIVE ASSESS
x x
MENT 2019 B | ATI COMPREHE x x x x x
NSIVE PRACTICETEST B (BES x x x x
T STUDY GUIDE VERSION WIT
x x x x
H COMPLETE SOLUTION)
x x
RN ATI Capstone Proctored Comprehensive Assessment2
x x x x x x
019 B/ ATI Comprehensive 2019 B| RN ATI Capstone Proc
x x x x x x x x x
tored|A Graded|NEW!!! x
, 1
1 .Axnursexisxassessingxaxclientxwhoxreceivedx2xunitsxofxpackedxRBCsx48xhoursxag
o.xWhichxofxthexfollowingxfindingsxshouldxindicatextoxthexnursexthatxthextherapyxhasx
beenxeffective?
Hemoglobinx14.9xg/dl
ThexnursexshouldxidentifyxthatxpackedxRBCsxarexadministeredxtoxclientsxwhoxhavexaxdecrea
sedxlevelxofxhemoglobinxorxhematocrit.xThisxhemoglobinxlevelxisxwithinxthexexpectedxrefere
ncexrangexofx14xtox18xg/dlxforxmalesxandx12xtox16xg/dlxforxfemales,xindicatingxthextherapyxh
asxbeenxeffective.
2 .Axnursexworkingxinxaxnxemergencyxdepartmentxisxtriagingxfourxclients.xWhichxofxt
hexfollowingxclientsxshouldxthexnursexrecommendxforxtreatmentxfirst?
Axmiddlexadultxclientxwhoxhasxunstablexvitalxsigns.
Usingxthexstablexversusxunstablexapproachxtoxclientxcare,xthexnursexshouldxrecommendxp
riorityxtreatmentxforxthexclientxwhoxhasxunstablexvitalxsignsxbecausexthisxclientxrequiresxim
mediatextreatmentxtoxreducexthexriskxofxfurtherxinjuryxorxpossiblexdeath.
3. Axnursexisxcaringxforxaxclientxwhoxhasxfluidxvolumexoverload.xWhichxofxthexf
ollowingxtasksxshouldxthexnursexdelegatextoxthexCNA?
Measurexthexclient’sxdailyxweight
ItxisxwithinxthexCNAsxrangexofxfunctionxtoxmeasurexaxclient’sxdailyxweight,xsoxthexnursexshoul
dxdelegatexthisxtaskxtoxthem.
4. Axnursexisxpreparingxtoxadministerxmannitolx0.2g/kgxIVxbolusxoverx5xminxasxaxtes
txdosextoxaxclientxwhoxhasxseverexoliguria.xThexclientxweighsx198lb.xWhatxisxthexamo
untxinxgramsxthexnursexshouldxadminister?
18xg
5. Axnursexisxconductingxaxphysicalxexaminationxforxanxadolescentxandxisxa
ssessingxthexrangexofxmotionxofxthexlegs.xWhichxofxthexfollowingximagesxin
dicatesxthexadolescentxisxabductingxthexhipxjoint?
Inxthexcorrectximage,xthexadolescentxisxabductionxthexhipxjointxbyxmovingxthexlegxawayxfr
omxthexmidlinexofxthexbody.
6. Axnursexisxcaringxforxaxclientxwhoxhasxhyperthyroidism.xWhichxofxthexfollowingxfi
ndingsxshouldxthexnursexexpect?
Tremors
, 2
Tremorsxarexaxmanifestationxofxhyperthyroidism,xalongxwithxtachycardia,xdiaphoresis,xweig
htxloss,xinsomnia,xandxexophthalmia.
7. Axnursexisxassessingxaxschool-
agedxchildxwhoxhasxbacterialxmeningitis.xWhichxofxthexfollowingxfindingsxshouldxt
hexnursexexpect?
Nuchalxrigidity
Thisxisxaxmanifestationxofxbacterialxmeningitis.
8. Axnursexisxassessingxax newborn’sxheartxrate.xWhichxofxthexfollowingxactionsxs
houldxthexnursextake?
Auscultatexthexapicalxpulsexatxleastx1xmin.
Thexnursexshouldxauscultatexthexapicalxpulsextoxobtainxanxaccuratexassessmentxofxheartxrat
exandxrhythm.xAuscultationxofxaxnewborn’sxheartxsoundsxcanxbexdifficultxbecausexofxthexra
pidxratexandxthextransmissionxofxrespiratoryxsounds.
9. Axnursexisxpreparingxtoxassistxwithxaxthoracentesisxforxaxclientxwhoxhasxpleurisy.xT
hexnursexshouldxplanxtoxperformxwhichxofxthexfollowingxactions?
Instructxthexclientxtoxavoidxcoughingxduringxthexprocedure.
Itxisximportantxforxthexnursextoxremindxthexclientxtoxavoidxcoughingxandxtoxliexstillxduringxaxthoracentesi
sxtoxavoidxpuncturingxthexpleura.
10. AxnursexinxthexEDxisxassessingxaxpreschoolerxwhoxhasxaxfacialxlaceration.xThexn
ursexshouldxidentifyxwhichxofxthexfollowingxfindingsxasxaxpotentialxindicationxofxch
ildxsexualxabuse?
Thexchildxexhibitsxdiscomfortxwhilexwalking.
Thexnursexshouldxidentifyxthisxfindingxasxaxpotentialxindicationxofxchildxsexualxabuse.
11. AxnursexisxpreparingxtoxteachxaboutxdietaryxmanagementxtoxaxclientxwhoxhasxC
rohn’sxdiseasexandxanxenteroxentericxfistula.xWhichxofxthexfollowingxnutrientsxsh
ouldxthexnursexinstructxthexclientxtoxdecreasexinxtheirxdiet?
Fiber
Thexnursexshouldxinstructxthexclientxtoxconsumexaxlow-
fiberxdietxtoxreducexdiarrheaxandxinflammation.
12. Axnursexisxcaringxforxaxclientxwhoxhasxaxprescriptionxforxaxcontinuousxpassivex
motionx(CPM)xmachinexfollowingxaxtotalxkneexarthroplasty.xWhichxofxthexfollowin
gxactionsxshouldxthexnursextake?
TurnxoffxthexCPMxmachinexduringxmealtime.xThi
sxpromotesxclientxcomfortxandxdietaryxintake.
