ATI CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT
FORM A EXAM WITH CORRECT
ANSWERS 2025
Electrolyte Imbalances: Identifying Manifestations of a Calcium ( corre
answers
Imbalance ) ct
- Level: <9
Hypocalcemia:
mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound
alkalosis, acute pancreatitis, immobility, parathyroid
drainage;
removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and
lips, muscle
twitche
s,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial
positive Trousseau's sign (hand/finger spasms with BP cuff inflation),
twitching),
cardiovascular
irregularities, diarrhea, abdominal
- Tx: Vitamin D
cramps
supplements
- Complications: Cardiac
arrest
Associated manifestation of Hypocalcemia ( correct
answers )
sig Positive Trousseau's
n
Associated manifestation of Hyperkalemia ( correct answers )
t- ECG with tall, peaked
waves
Associated manifestation of Hyponatremia ( correct
answers ) Bounding pulse
Associated manifestation of Hypokalemia ( correct
answers )
sound Hypoactive bowel
s
The nurse is assessing the client for Chvostek's sign. Which of the
following
should theactions
nurse
a. Apply a BP cuff to the client's
take?
arm
b. Place a stethoscope bell over the client's
carotid
c. Ask theartery
client to lower their chin to
their
d. Tapchest
lightly on the client's cheek ( correct answers ) d. Tap lightly on
chee
the client's
k
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's
A sign.= Facial twitching on the side of
positive sign
the face
The nurse is assessing the client who reports nausea, vomiting, and
weakness.
of the following
Which findings are manifestations of
hypocalcemia? SATA
GRADED
A+
, a. Tingling in
b. Poor skin
fingers
turgor
c. Abdominal
d. Elevated
pain
temperature
e. Muscle twitching( correct answers ) a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea,
and muscle twitching are manifestations of hypocalcemia.
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Thoracentesis
Scheduled for a( correct answers )
- Percussion, auscultation, radiography, or sonography is used to locate
Preprocedure:
the effusion
and needle insertion
- Assist the older client to maintain still for the
site.
procedure
- Position the client sitting upright with arms and shoulders raised and
supported
pillows and/or
on an overbed table and with feet and legs well-
supported.
- Remain stills, no coughing or
talking
- Aseptic
Intraprocedure:
technique
- Monitor VS, skin color, and
-oxAmount
sat of fluid removed is limited to 1L at a time to prevent re-expansion
pulmonary
edema
Postprocedur
- Apply dressing over puncture
e:
site
- Assess for bleeding or
- Monitor VS and respiratory status hourly for the first
drainage
-several hoursdeep breathe to assist with lung
Encourage
- Obtain a postprocedure cxr
expansion
Thoracentesis ( correct answers ) Thoracentesis is the surgical
chest wall and
perforation pleural space with a large-bore needle. It is
of the
performed to
specimens forobtain
diagnostic evaluation, instill medication into the pleural
space, and
remove fluid or air from the pleural space for therapeutic relief of pleural
pressure.
tests.
A nurseWhich of the following
is reviewing statements
information should
with a client theis scheduled for
who
nurse
a. "Do make?
not use
pulmonary functioninhaler medications for 6 hr following
b.
the"Do not smoke tobacco for 6-8 hr prior to
test."
the"You
c. test."
will be asked to bear down and hold your breath during
the"The
d. test."
arterial blood flow to your hand will be evaluated as part of the
test."
answers ) b. "Do not smoke tobacco for 6-8 hr prior to
( correct
the test."
To ensure accurate
results
GRADED
A+
COMPREHENSIVE ASSESSMENT
FORM A EXAM WITH CORRECT
ANSWERS 2025
Electrolyte Imbalances: Identifying Manifestations of a Calcium ( corre
answers
Imbalance ) ct
- Level: <9
Hypocalcemia:
mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound
alkalosis, acute pancreatitis, immobility, parathyroid
drainage;
removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and
lips, muscle
twitche
s,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial
positive Trousseau's sign (hand/finger spasms with BP cuff inflation),
twitching),
cardiovascular
irregularities, diarrhea, abdominal
- Tx: Vitamin D
cramps
supplements
- Complications: Cardiac
arrest
Associated manifestation of Hypocalcemia ( correct
answers )
sig Positive Trousseau's
n
Associated manifestation of Hyperkalemia ( correct answers )
t- ECG with tall, peaked
waves
Associated manifestation of Hyponatremia ( correct
answers ) Bounding pulse
Associated manifestation of Hypokalemia ( correct
answers )
sound Hypoactive bowel
s
The nurse is assessing the client for Chvostek's sign. Which of the
following
should theactions
nurse
a. Apply a BP cuff to the client's
take?
arm
b. Place a stethoscope bell over the client's
carotid
c. Ask theartery
client to lower their chin to
their
d. Tapchest
lightly on the client's cheek ( correct answers ) d. Tap lightly on
chee
the client's
k
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's
A sign.= Facial twitching on the side of
positive sign
the face
The nurse is assessing the client who reports nausea, vomiting, and
weakness.
of the following
Which findings are manifestations of
hypocalcemia? SATA
GRADED
A+
, a. Tingling in
b. Poor skin
fingers
turgor
c. Abdominal
d. Elevated
pain
temperature
e. Muscle twitching( correct answers ) a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea,
and muscle twitching are manifestations of hypocalcemia.
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is
Thoracentesis
Scheduled for a( correct answers )
- Percussion, auscultation, radiography, or sonography is used to locate
Preprocedure:
the effusion
and needle insertion
- Assist the older client to maintain still for the
site.
procedure
- Position the client sitting upright with arms and shoulders raised and
supported
pillows and/or
on an overbed table and with feet and legs well-
supported.
- Remain stills, no coughing or
talking
- Aseptic
Intraprocedure:
technique
- Monitor VS, skin color, and
-oxAmount
sat of fluid removed is limited to 1L at a time to prevent re-expansion
pulmonary
edema
Postprocedur
- Apply dressing over puncture
e:
site
- Assess for bleeding or
- Monitor VS and respiratory status hourly for the first
drainage
-several hoursdeep breathe to assist with lung
Encourage
- Obtain a postprocedure cxr
expansion
Thoracentesis ( correct answers ) Thoracentesis is the surgical
chest wall and
perforation pleural space with a large-bore needle. It is
of the
performed to
specimens forobtain
diagnostic evaluation, instill medication into the pleural
space, and
remove fluid or air from the pleural space for therapeutic relief of pleural
pressure.
tests.
A nurseWhich of the following
is reviewing statements
information should
with a client theis scheduled for
who
nurse
a. "Do make?
not use
pulmonary functioninhaler medications for 6 hr following
b.
the"Do not smoke tobacco for 6-8 hr prior to
test."
the"You
c. test."
will be asked to bear down and hold your breath during
the"The
d. test."
arterial blood flow to your hand will be evaluated as part of the
test."
answers ) b. "Do not smoke tobacco for 6-8 hr prior to
( correct
the test."
To ensure accurate
results
GRADED
A+
