ATI Capstone Proctored Comprehensive
Assessment Form A Exam 2025
Questions and Answers
Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance -
....ANSWER ...-Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound drainage;
alkalosis, acute pancreatitis, immobility, parathyroid removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and lips,
muscle twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial
twitching), positive Trousseau's sign (hand/finger spasms with BP cuff inflation),
cardiovascular irregularities, diarrhea, abdominal cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
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,Associated manifestation of Hypocalcemia - ....ANSWER ...-Positive
Trousseau's sign
Associated manifestation of Hyperkalemia - ....ANSWER ...-ECG with tall,
peaked t-waves
Associated manifestation of Hyponatremia - ....ANSWER ...-Bounding pulse
Associated manifestation of Hypokalemia - ....ANSWER ...-Hypoactive
bowel sounds
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 - ....ANSWER ...-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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, The nurse is assessing the client who reports nausea, vomiting, and weakness.
Which of the following findings are manifestations of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching - ....ANSWER ...-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 - ....ANSWER ...-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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
Assessment Form A Exam 2025
Questions and Answers
Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance -
....ANSWER ...-Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound drainage;
alkalosis, acute pancreatitis, immobility, parathyroid removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and lips,
muscle twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial
twitching), positive Trousseau's sign (hand/finger spasms with BP cuff inflation),
cardiovascular irregularities, diarrhea, abdominal cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Associated manifestation of Hypocalcemia - ....ANSWER ...-Positive
Trousseau's sign
Associated manifestation of Hyperkalemia - ....ANSWER ...-ECG with tall,
peaked t-waves
Associated manifestation of Hyponatremia - ....ANSWER ...-Bounding pulse
Associated manifestation of Hypokalemia - ....ANSWER ...-Hypoactive
bowel sounds
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 - ....ANSWER ...-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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, The nurse is assessing the client who reports nausea, vomiting, and weakness.
Which of the following findings are manifestations of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching - ....ANSWER ...-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 - ....ANSWER ...-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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
