ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT COMPLETE QUESTIONS AND ANSWERS |GET IT CORRECT|GUARANTEED PASS!!

ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT COMPLETE QUESTIONS AND ANSWERS |GET IT CORRECT|GUARANTEED PASS!! “Cor Pulmonale - CORRECT ANSWER Right-sided heart failure due to lung issues." "Alzheimer's Care - CORRECT ANSWER Assist clients with feeding and daily activities." "Subdural Hematoma - CORRECT ANSWER Blood collection between brain and dura mater." "Cerebral Edema - CORRECT ANSWER Swelling of the brain due to fluid accumulation." "Vaginal Discharge - CORRECT ANSWER Increased discharge may indicate complications in pregnancy." "Subtotal Thyroidectomy - CORRECT ANSWER Surgical removal of part of the thyroid gland." "Haldol Side Effects - CORRECT ANSWER Milk production due to prolactin increase from medication." "Intermittent Peritoneal Dialysis (IPD) - CORRECT ANSWER Dialysis method using the peritoneum for filtration." "C. difficile Precautions - CORRECT ANSWER Use gowns and gloves for family visiting infected clients." "Oliguria - CORRECT ANSWER Low urine output, indicating possible kidney issues." "Rebound Tenderness - CORRECT ANSWER Pain upon release of pressure in the abdomen." "Sublingual Nitroglycerin - CORRECT ANSWER Medication for angina; take at onset of pain." "Morphine Administration - CORRECT ANSWER Monitor for respiratory depression after IV push." "Total Parenteral Nutrition (TPN) - CORRECT ANSWER Nutritional support delivered intravenously." "Diazepam (Valium) - CORRECT ANSWER Anxiolytic medication for anxiety relief." "Post-Myelogram Care - CORRECT ANSWER Encourage fluid intake to prevent dehydration." "Peripheral Edema - CORRECT ANSWER Swelling due to fluid retention in tissues." "Cheyne-Stokes Respirations - CORRECT ANSWER Abnormal breathing pattern with periods of apnea." "Potassium Chloride - CORRECT ANSWER Electrolyte supplement used for hypokalemia." "Calcium Gluconate - CORRECT ANSWER Used to treat hypocalcemia and cardiac issues." "Suction Equipment - CORRECT ANSWER Devices used to clear airway obstructions." "Cloudy Dialysate Outflow - CORRECT ANSWER Indicates possible infection during dialysis." "Haloperidol - CORRECT ANSWER Antipsychotic medication for managing severe agitation." "Serum Potassium - CORRECT ANSWER Critical lab value to monitor with spironolactone." "Valproic Acid Monitoring - CORRECT ANSWER Check thrombocytes and liver function regularly." "Nursing Assistant Role - CORRECT ANSWER Supportive tasks under RN supervision for clients." "Client Safety - CORRECT ANSWER Assess gait to prevent falls in dementia patients." "Flumazenil - CORRECT ANSWER A medication used to treat symptoms of benzodiazepine overdose." "Levodopa/Carbidopa - CORRECT ANSWER A medication prescribed for Parkinson's disease that requires monitoring for orthostatic hypotension." "Lithium Carbonate - CORRECT ANSWER A medication that can lead to toxicity when taken with NSAIDs like ibuprofen, which increase renal reabsorption." "Partial Gastrectomy and Vagotomy (Billroth I) - CORRECT ANSWER A surgical procedure for peptic ulcer patients; clients should avoid eating large meals high in simple sugars and liquids." "1,200-calorie ADA diet - CORRECT ANSWER A dietary plan for clients with newly diagnosed type I diabetes mellitus." "Blood Sugar Analysis Result 50 mg/dL - CORRECT ANSWER The nurse would expect the client to be confused with cold, clammy skin and a pulse of 110." "Intracranial Pressure Indicator - CORRECT ANSWER A high-pitched cry in a four-month-old infant could indicate an increase in intracranial pressure." "Nonstress Test Preparation - CORRECT ANSWER Instruct the client to push a button when she feels fetal movement." "Heat Stroke Symptoms - CORRECT ANSWER A client with heat stroke will exhibit hypotension." "Nutritional Status Improvement - CORRECT ANSWER The best indication after 4 days of TPN is a patient's albumin level of 4.0 mg/dL." "Promoting Client Independence - CORRECT ANSWER The nurse should instruct the client to focus on gradually resuming self-care tasks." "Phlebitis Management - CORRECT ANSWER After removing the IV catheter, the nurse should place a warm compress over the IV site." "Client Autonomy - CORRECT ANSWER A client's decision not to have surgery despite significant blockages is an example of autonomy." "Wound Irrigation Procedure - CORRECT ANSWER The nurse should cleanse the wound from the center outwards." "NG Tube Irrigation - CORRECT ANSWER To maintain fluid and electrolyte balance, 0.9% sodium chloride should be used for irrigation." "Dementia Injury Prevention - CORRECT ANSWER Using a bed exit alarm system minimizes the risk for injury in clients with dementia." "Tuberculosis Care - CORRECT ANSWER Place the client in a negative pressure room and wear gloves when assisting with oral care." "Indwelling Urinary Catheter Removal - CORRECT ANSWER Pouring warm water over the client's perineum is an intervention for difficulty voiding." "24-Hour Urine Collection Understanding - CORRECT ANSWER A client statement indicating understanding of the procedure is required." "Bowel Movement - CORRECT ANSWER Defecation process involving stool elimination." "Urine Specimen - CORRECT ANSWER Sample of urine for diagnostic testing." "Digoxin Toxicity - CORRECT ANSWER Risk from low potassium levels affecting heart." "Furosemide - CORRECT ANSWER Diuretic medication used to reduce fluid retention." "Dumping Syndrome - CORRECT ANSWER Rapid gastric emptying causing gastrointestinal symptoms." "Clear Liquid Diet - CORRECT ANSWER Diet consisting of clear fluids for digestive rest." "Verapamil - CORRECT ANSWER Calcium channel blocker that can enhance digoxin effects." "Ambulation - CORRECT ANSWER Walking or moving about for physical activity." "Fall Risk - CORRECT ANSWER Increased likelihood of falling due to health issues." "Ethical Principle of Justice - CORRECT ANSWER Fair treatment and equal access to healthcare." "Warfarin - CORRECT ANSWER Anticoagulant medication requiring monitoring for interactions." "Delegation - CORRECT ANSWER Assigning tasks to appropriate personnel in healthcare." "Respiratory Depression - CORRECT ANSWER Decreased breathing rate or effort, a medication side effect." "Oxygen Safety - CORRECT ANSWER Precautions to prevent fire hazards with oxygen use." "Food Poisoning Prevention - CORRECT ANSWER Cooking meat to safe temperatures to avoid illness." "Passive Smoking - CORRECT ANSWER Inhaling smoke from others' cigarettes, harmful to health." "Serum Albumin Level - CORRECT ANSWER Indicator of nutritional status, normal range 3.5-5 g/dL." "Pain Management - CORRECT ANSWER Providing analgesics to alleviate discomfort post-surgery." "Amitriptyline - CORRECT ANSWER Antidepressant requiring caution with position changes." "Cane Usage - CORRECT ANSWER Using a cane on the strong side for support." "Norton Scale - CORRECT ANSWER Assessment tool for pressure ulcer risk." "Braden Scale - CORRECT ANSWER Tool to assess pressure ulcer risk, scores range 6-23." "Hydration - CORRECT ANSWER Maintaining fluid balance for overall health." "Home Safety - CORRECT ANSWER Preventing hazards in the living environment for elderly." "Medication History - CORRECT ANSWER Reviewing past medications to prevent interactions." "Client Education - CORRECT ANSWER Instructing clients on medication and health management." "IV Lorazepam - CORRECT ANSWER Medication for anxiety, monitor for sedation effects." "Antiembolic Stockings - CORRECT ANSWER Compression garments to prevent blood clots post-surgery." "Applying a sterile dressing to a pressure ulcer - CORRECT ANSWER ansC" "A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable status. - CORRECT ANSWER This action is an example of which ethical principle - ansD" "Initial positive outcome of treatment for a victim of sexual abuse - CORRECT ANSWER The client verbalizes that s/he is not responsible for the sexual abuse - ans3" "Antihypertensive medication advice - CORRECT ANSWER Teach the client to change position slowly to avoid dizziness or fainting - ansteach" "Intervention for a patient experiencing constipation post-colostomy surgery - CORRECT ANSWER Suggest fluid intake of at least 2 L per day - ansC" "Positive Chvostek's sign - CORRECT ANSWER The nurse would anticipate IV administration of calcium gluconate - anscalcium gluconate" "Most indicative comment of a dissociative disorder - CORRECT ANSWER I don't know who I am and I don't know where I live - ans4" "Adverse effect of Verapamil - CORRECT ANSWER Avoid grapefruit juice - ans" "Adverse effects of ferrous sulfate - CORRECT ANSWER Constipation; upset stomach; black or dark-colored stools; or temporary staining of the teeth - ans" "Nursing diagnosis priority for left-sided hemiparesis post-CVA - CORRECT ANSWER Alteration in skin integrity related to decrease in tissue oxygenation - ans2" "Nursing intervention for a client with a nasogastric tube who becomes nauseated - CORRECT ANSWER Aspirate the gastric contents with a syringe - ans2" "Assessment to report after head injury in a child - CORRECT ANSWER There is clear fluid draining from the client's right ear - ans2" "Structures possibly affected in upper gastrointestinal tract disorders - CORRECT ANSWER Stomach - ansC" "Alcohol Use Manifestations of Withdrawal - CORRECT ANSWER Body burns 0.5 oz of alcohol per hour; Withdrawal appears within 4-12 hours; Irritability + Tremors + Anxiety; Nausea + Vomiting + HA; Diaphoresis; Sleep Disturbances; TACHYCARDIA + HTN - ans" "Treatment for alcohol withdrawal - CORRECT ANSWER Use Benzodiazepines = tx Diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium) - ans" "Medications for substance withdrawal - CORRECT ANSWER Chlordiazepoxide (Librium) - ans" "Positioning after bronchoscopy for an 8-year-old client - CORRECT ANSWER In semi-Fowler's position - ans1" "Instructions for taking tetracycline HCL - CORRECT ANSWER Wear sunscreen and a hat when outdoors - ans2" "Nursing care plan post-open reduction and internal fixation of femoral head - CORRECT ANSWER Cough and deep breathe - ans4" "Important nursing intervention for a client receiving haloperidol - CORRECT ANSWER Monitor vital signs, especially blood pressure, every 30 minutes - ans1" "Assignment LPN should question - CORRECT ANSWER Replacing the cartridge and tubing on a PCA pump - ansD" "Age when bone loss begins with osteoporosis - CORRECT ANSWER At age 35 (women) - ans" "Normal Calcium levels - CORRECT ANSWER 8.6-10 mg/dL - ans" "Therapeutic outcome of Baclofen (Lioresal) - CORRECT ANSWER Decrease the frequency and severity of muscle spasms (MS) - ans" "Bladder retraining for urge incontinence - CORRECT ANSWER Use timed voidings to increase intervals between voidings/decrease voiding frequency - ans" "Kegel exercises - CORRECT ANSWER Exercises performed to strengthen pelvic floor muscles." "Sources of potassium - CORRECT ANSWER Include beans, spinach, potatoes, dried apricots, acorn squash, yogurt, salmon, avocados, mushrooms, and bananas." "Foods to limit when taking Coumadin - CORRECT ANSWER Foods containing Vitamin K, such as dark leafy greens, brussel sprouts, broccoli, and asparagus." "Teaching points for naltrexone - CORRECT ANSWER Take with meals to suppress GI distress; monthly IM injections suggested for adherence." A nurse who was recently a patient at her hospital logs into the EHR and accesses her records. IS this a HIPPA violation? Yes or No - CORRECT ANSWER Yes" "A nurse can be fined, fired, and/or recieve jail time for a HIPPA violation? True or False - CORRECT ANSWER True" "This alerts the organization to risk management and quality assurance issues. A) HIPPA guidlines B) Competency Checks C)Incident Reports - CORRECT ANSWER C" "Incidence reports are part of the patient's record. True or False - CORRECT ANSWER False" "The first step in progressive employee discipline is to: A) counsel the employee B) reprimand the employee C) suspend the employee D) Terminate the employee - CORRECT ANSWER A" "Many employees increase their ___ just before submitting their resignation. A) job commitment B) Scheduled vacation time C)absenteeism D)substance abuse - CORRECT ANSWER C" "_______ are not necessarily representative of inner thoughts and feelings. A) First words B) stated goals C) nonverbal behaviors - CORRECT ANSWER A" "If a patient is threatening to leave AMA, what should be your first action? A) Call security B) give the client an AMA form C) Discuss the reasons for wanting to leave with the patient D) Prevent the client from leaving the facility - CORRECT ANSWER C" "An UAP threatens to put a patient in a diaper if he does not use the urinal correctly. This is an example of: A) Battery B) False imprisonment C) Assault D) Invasion of privacy - CORRECT ANSWER C" "Which of the following regulations outlines the rights of individuals in healthcare settings? A) ANA code of ethics B) HIPPA C) Patient self-determination act D) Patient care partnership - CORRECT ANSWER D" "Which of the following would be a fall hazard in the home? A) Use of a night light B) Area rug with corners turned up C) arm rails on the stairs D) Grip bar in the shower - CORRECT ANSWER B" "You have caught a medication error where a patient was given an antihypertensive medication. What should you do first? A) Document the error B) Check vital signs C) Notify the risk manager D) Complete an incident report - CORRECT ANSWER B" "In a disaster, this system offers a clear structure for management at a facility level: A) Triage office B) Medical command C) Risk management D) Incident command - CORRECT ANSWER D" "A nurse enters the room of a client who is on contact precautions and finds the client lying on the floor. Which of the following actions should the nurse take first? A) Call the provider B) Ask a staff member for assistance getting the client back in bed C) Inspect the client for injuries D) Instruct the client to ask for help if he needs to get out of bed - CORRECT ANSWER C" "An RN on a med-surg unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN? A) Obtain vitals for a client who is 2 hr postprocedure following a cardiac catherization B) Administering a unit of packed red blood cells (RBCs) to a client who has cancer C) Instructing a client who is scheduled for discharge in the performance of wound care D) Developing a plan of care for a newly admitted client who has pneumonia - CORRECT ANSWER A" "A PN ending her shift reports to the RN that a newly hired AP has no calculated the intake and output for several clients. Which of the following actions shoudl the RN take? A) Complete an incident report B) Delegate the task to the PN C) Ask the AP if she needs assistance D) Notify the manager - CORRECT ANSWER C" "A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? SATA A) Skill proficiency B) Assignment to a preceptor C) Budgetary principles D) Computerized charting E) Socialization into unit culture F) Facility policies and procedures - CORRECT ANSWER A, B, D, E, F" "A nurse if providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? SATA A) A structure audit evaluates the setting and resources available to provide care B) An outcome audit evaluates the results of the nursing care provided C) A root cause analysis is indicated when a sentinel event occurs D) Retrospective audits are conducted while the client is receiving care E) After data collection is completed, it is compared to a benchmark - CORRECT ANSWER A, B, C, E" "A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? A) Frequency with which procedure is performed B) Client satisfaction with performance of procedure C) Incidence of complications related to procedure D) Accurate documentation of how procedure was performed - CORRECT ANSWER C" "A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? A) Avoidance B) Smoothing C) Cooperating D) Negotiating - CORRECT ANSWER A" "A nurse is preparing to transfer an older adult client who is 72 hr postoperative to a long-term care facility. Which of the following information should the nurse include in the transfer report? SATA A) Type of anesthesia used B) Advance directives status C) Vital signs on day of admission D) Medical diagnosis E) Need for specific equipment - CORRECT ANSWER B, D, E" "A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord injury. The client worked as a construction worker prior to his injury. Which of the following members of the interprofessional should participate in planning care for this client? SATA A) physical therapist B) Speech therapist C) Occupational therapist D) Psychologist E) Vocational counselor - CORRECT ANSWER A, C, D, E" "A nurse manage is working with a committee of nurses to update policies for new employee orientation. The nurse manager directs the team to collect as much data as possible and recommend several options. Which of the following decision-making styles if the nurse manager demonstrating? A) Decisive B) Flexible C) Hierarchical D) Integrative - CORRECT ANSWER D" "A nurse who has just assumed the role of unit manager is examining her skills in interprofessional collaboration. Which of the following actions support interprofessional collaboration? SATA A) Use aggressive communication when addressing the team B) Recognize the knowledge and skills of each member of the team C) Ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings D) Encourage the client and family to participate in the team meeting E) Support team member requests for referral - CORRECT ANSWER B, D, E" "A nurse on a telemetry unit is caring for a client who was admitted 2 hr ago and has chest pain. The client becomes angry and tells the nurse that there is nothing wrong with him and that he is going home immediately. Which of the following actions should the nurse take? SATA A) Notify the client's family of his intent to leave the facility B) Document that the client left the facility against medical advice (AMA) C) Explain to the client the risks involved if he chooses to leave. D) Ask the client to sign a form relinquishing responsibility of the facility E) Prevent the client from leaving the facility until the provider arrives - CORRECT ANSWER B, C, D" "Bowel elimination specimen collection - CORRECT ANSWER Collect stool specimens for serial fecal occult blood testing 3 times from 3 different defecations." "Case Management nursing - CORRECT ANSWER Involves decreasing cost by improving client outcomes, providing education to optimize health participation, and advocating for services and client's rights." "Pre-albumin - CORRECT ANSWER The best tool for evaluating nutrition with a half-life of 2 days, making it more accurate than albumin." "Anticipatory grief - CORRECT ANSWER The process of letting go of an object or person before the actual loss, allowing individuals to greet before the loss." "Collaboration - CORRECT ANSWER Used by interdisciplinary teams to make health care decisions about clients with multiple problems." "Health promotion for infants - CORRECT ANSWER Includes avoiding plastic bags, keeping balloons out of reach, ensuring crib mattress fits snugly, and placing infants on their back for sleep." "Response to client discontinuing dialysis - CORRECT ANSWER Ask, 'What has changed to make you decide this?'" "Oxycodone adverse effects - CORRECT ANSWER Can cause respiratory depression; monitor vital signs and stop opioids for respiratory rate less than 12/min." "Hypotension - CORRECT ANSWER Classified with a reading below normal; systolic < 90 mm Hg." "Transient ischemic attacks - CORRECT ANSWER Identified by symptoms related to the affected area, such as rapid onset of weakness, numbness, and aphasia." "Democratic leadership - CORRECT ANSWER Includes the group in decision-making and motivates by supporting achievements." "Interaction of diuretics and ACE inhibitors - CORRECT ANSWER Can lead to excessive reduction in blood pressure and symptomatic hypotension or hyperkalemia." "Dysfunctional grief - CORRECT ANSWER Involves prolonged grief work with severe manifestations, potentially leading to suicidal ideation and intense feelings of guilt." "Levothyroxine effects - CORRECT ANSWER Used to restore client's metabolic rate; toxic effects include heat intolerance, tachycardia, weight loss, and hypertension." "Long term effects of NSAIDs - CORRECT ANSWER Include gastric ulcerations, perforations, hemorrhage, and hypertension." "Authoritative leadership - CORRECT ANSWER Makes decisions for the group, motivates by coercion, and communicates down the chain of command." "Laissez faire leadership - CORRECT ANSWER Makes few decisions, with motivation largely the responsibility of individual staff members." "Malnourished COPD patients - CORRECT ANSWER Should limit liquid intake at meal times, consume protein-rich foods, and maintain an upright position to promote ventilation." "Multiple Sclerosis Patient - CORRECT ANSWER Mitoxantrone IV every 3 months; report sore throat due to risk of severe infection from myelosuppression." "Constipation from opioids - CORRECT ANSWER Advise clients to increase fluid/fiber intake and physical activity; administer a stimulant laxative or stool softener." "Signs of potential hypovolemia - CORRECT ANSWER Hypotension is a sign in patients diagnosed with esophageal varices." "Seclusion and restraints - CORRECT ANSWER Must be ordered for the shortest duration necessary; client assessments should be performed every 15-30 minutes." "Signs for meningococcemia - CORRECT ANSWER Include vomiting, febrile, and petechial rash." "Which of the following is NOT considered a sentinel event? A) Fall B) Medication error C) Cardiac arrest D) Suicide - CORRECT ANSWER C" "Which of the following is NOT a result of horizontal violence in nursing? A)errors B) poor work performance C) attrition rate D) All are results of the horizontal violence - CORRECT ANSWER D" "In effective teams, personal friendship is not required, but ___ is a necessity. A) Agreement B) Single mindedness C) Conflict D) Cooperation - CORRECT ANSWER D" "A sense of passion and dedication to a project or event. A)Cooperation B) Commitment C) Singleness of mission D) Conflict resolution - CORRECT ANSWER B" "A very close relationship exists between ___ and time management. A) Stress management B) Job satisfaction C) Horizontal violence D) Cognitive reframing - CORRECT ANSWER A" "Changing the way you look at a thing to make you feel between about them or to obtain a different perspective. A) Perspective taking B) Cognitive reframing C) Stress management - CORRECT ANSWER B" "Which of the following is an example of a way to help with stress management mentally? A) Go to professional counseling B) Acquire a mentor C) Relax D) Learn to say No - CORRECT ANSWER D" "Stress management means stress reduction. True or false - CORRECT ANSWER False" "_____ stressors work as motivators while ____ stressors inhibit performance. A) positive, negative B)negative, positive - CORRECT ANSWER A" "What should be your first action when a patient falls? A) Call the doctor B) Inspect the client for injuries C) Assist the client back to bed D) Fill out an incidient report - CORRECT ANSWER B" "A nurse notices that a UAP has not completed I/O all shift. What should she do? A) Report it to the manager B) Ask the UAP about it C) complete the task herself D) Complete an incident report - CORRECT ANSWER B" "Which of the following items is not important to include in a discharge transfer report? A) Admission vital signs B) Admitting diagnosis C) Level of orientation D) Code status - CORRECT ANSWER A"