ATI CAPSTONE PROCTORED
COMPREHESIVE ASSESSMENT
ACTUAL EXAM VERSION A WITH
NGN FORMAT CURRENTLY LATEST
VERSION WITH CORRECT ANSWERS
2025
The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d.Tap lightly on the client's cheek ( correct answers ) d. Tap lightly on
the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign. A positive sign = Facial twitching on the side of the face
The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
e. Tingling in fingers
f. Poor skin turgor
g. Abdominal pain
h. Elevated temperature
i. 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
Scheduled for a Thoracentesis ( correct answers ) Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the
effusion
and needle insertion site.
- Assist the older client to maintain still for the procedure
-Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs well-
supported.
- Remain stills, no coughing or talking
Intraprocedure:
- Aseptic technique
- Monitor VS, skin color, and ox sat
GRADED
A+
, -Amount of fluid removed is limited to 1L at a time to prevent re-
expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
Thoracentesis ( correct answers ) Thoracentesis is the surgical
perforation of the chest wall and pleural space with a large-bore needle.
It is performed to obtain specimens for diagnostic evaluation, instill
medication into the pleural space, and remove fluid or air from the
pleural space for therapeutic relief of pleural pressure.
A nurse is reviewing information with a client who is scheduled for
pulmonary function tests. Which of the following statements should the
nurse make?
a. "Do not use inhaler medications for 6 hr following the test."
b. "Do not smoke tobacco for 6-8 hr prior to the test."
c. "You will be asked to bear down and hold your breath during the test."
d."The arterial blood flow to your hand will be evaluated as part of the
test."
( correct answers ) b. "Do not smoke tobacco for 6-8 hr prior to the test."
To ensure accurate results
A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following supplies should the nurse ensure are in the
clients room? SATA
e. Oxygen equipment
f. Incentive spirometer
g. Pulse oximeter
h. Sterile dressing
i. Suture removal kit ( correct answers ) a, c, d
j. Oxygen equipment for SOB
k. Pulse ox to monitor ox sat during procedure
d. Sterile dressing to apply to the puncture site
A nurse is caring for a client who is scheduled for a thoracentesis.
Prior to the procedure, which of the following actions should the
nurse take?
l. Position the client upright, leaning over the bedside table
m.Explain the procedure to the client
n. Perform an Allen's test on the client
o.Administer benzocaine spray to the client ( correct answers ) a.
Position
GRADED
the client upright, leaning over the bedside table
A+
It widens the intercostal space for the provider to access the pleural fluid
COMPREHESIVE ASSESSMENT
ACTUAL EXAM VERSION A WITH
NGN FORMAT CURRENTLY LATEST
VERSION WITH CORRECT ANSWERS
2025
The nurse is assessing the client for Chvostek's sign. Which of the
following actions should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d.Tap lightly on the client's cheek ( correct answers ) d. Tap lightly on
the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit
Chvostek's sign. A positive sign = Facial twitching on the side of the face
The nurse is assessing the client who reports nausea, vomiting, and
weakness. Which of the following findings are manifestations of
hypocalcemia? SATA
e. Tingling in fingers
f. Poor skin turgor
g. Abdominal pain
h. Elevated temperature
i. 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
Scheduled for a Thoracentesis ( correct answers ) Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the
effusion
and needle insertion site.
- Assist the older client to maintain still for the procedure
-Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs well-
supported.
- Remain stills, no coughing or talking
Intraprocedure:
- Aseptic technique
- Monitor VS, skin color, and ox sat
GRADED
A+
, -Amount of fluid removed is limited to 1L at a time to prevent re-
expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
Thoracentesis ( correct answers ) Thoracentesis is the surgical
perforation of the chest wall and pleural space with a large-bore needle.
It is performed to obtain specimens for diagnostic evaluation, instill
medication into the pleural space, and remove fluid or air from the
pleural space for therapeutic relief of pleural pressure.
A nurse is reviewing information with a client who is scheduled for
pulmonary function tests. Which of the following statements should the
nurse make?
a. "Do not use inhaler medications for 6 hr following the test."
b. "Do not smoke tobacco for 6-8 hr prior to the test."
c. "You will be asked to bear down and hold your breath during the test."
d."The arterial blood flow to your hand will be evaluated as part of the
test."
( correct answers ) b. "Do not smoke tobacco for 6-8 hr prior to the test."
To ensure accurate results
A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following supplies should the nurse ensure are in the
clients room? SATA
e. Oxygen equipment
f. Incentive spirometer
g. Pulse oximeter
h. Sterile dressing
i. Suture removal kit ( correct answers ) a, c, d
j. Oxygen equipment for SOB
k. Pulse ox to monitor ox sat during procedure
d. Sterile dressing to apply to the puncture site
A nurse is caring for a client who is scheduled for a thoracentesis.
Prior to the procedure, which of the following actions should the
nurse take?
l. Position the client upright, leaning over the bedside table
m.Explain the procedure to the client
n. Perform an Allen's test on the client
o.Administer benzocaine spray to the client ( correct answers ) a.
Position
GRADED
the client upright, leaning over the bedside table
A+
It widens the intercostal space for the provider to access the pleural fluid
