ATI CAPSTONE PROCTORED COMPREHENSIVE EXAM QUESTIONS AND ANSWERS

ATI CAPSTONE PROCTORED
COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS
Electrolyten9Imbalances:n9Identifyingn9Manifestationsn9ofn9an9Calciumn9Imbalancen9-
n9ANSWERS--Hypocalcemia:
-n9Level:n9<9n9mg/dL
-n9Riskn9factors:n9Calciumn9deficit,n9diarrhea,n9end-
stagen9kidneyn9disease,n9woundn9drainage;n9alkalosis,n9acuten9pancreatitis,n9immobil
ity,n9parathyroidn9removal/damage
-
n9S&S:n9Tetanyn9(mostn9commonn9manifestation),n9paresthesian9ofn9then9fingersn9an
dn9lips,n9musclen9twitches,n9
seizure,n9musclen9spasms,n9hyperactiven9DTRs,n9positiven9Chvostek'sn9signn9(facialn
9twitching),n9positiven9Trousseau'sn9signn9(hand/fingern9spasmsn9withn9BPn9cuffn9infla
tion),n9cardiovascularn9irregularities,n9diarrhea,n9abdominaln9cramps
-n9Tx:n9Vitaminn9Dn9supplements
-n9Complications:n9Cardiacn9arrest

Associatedn9manifestationn9ofn9Hypocalcemian9-n9ANSWERS--
Positiven9Trousseau'sn9sign

Associatedn9manifestationn9ofn9Hyperkalemian9-n9ANSWERS--
ECGn9withn9tall,n9peakedn9t-waves

Associatedn9manifestationn9ofn9Hyponatremian9-n9ANSWERS--Boundingn9pulse

Associatedn9manifestationn9ofn9Hypokalemian9-n9ANSWERS--
Hypoactiven9boweln9sounds

Then9nursen9isn9assessingn9then9clientn9forn9Chvostek'sn9sign.n9Whichn9ofn9then9follo
wingn9actionsn9shouldn9then9nursen9take?
a.n9Applyn9an9BPn9cuffn9ton9then9client'sn9armn9
b.n9Placen9an9stethoscopen9belln9overn9then9client'sn9carotidn9arteryn9
c.n9Askn9then9clientn9ton9lowern9theirn9chinn9ton9theirn9chest
d.n9Tapn9lightlyn9onn9then9client'sn9cheekn9-n9ANSWERS--
d.n9Tapn9lightlyn9onn9then9client'sn9cheek

Tapn9overn9then9facialn9nerven9justn9belown9andn9anteriorn9ton9then9earn9ton9elicitn9Ch
vostek'sn9sign.n9
An9positiven9signn9=n9Facialn9twitchingn9onn9then9siden9ofn9then9face

Then9nursen9isn9assessingn9then9clientn9whon9reportsn9nausea,n9vomiting,n9andn9wea
kness.n9Whichn9ofn9then9followingn9findingsn9aren9manifestationsn9ofn9hypocalcemia?
n9SATA
a.n9Tinglingn9inn9fingers

, b.n9Poorn9skinn9turgorn9
c.n9Abdominaln9painn9
d.n9Elevatedn9temperaturen9
e.n9Musclen9twitchingn9-n9ANSWERS--a,n9c,n9e

Numbnessn9andn9tinglingn9inn9fingersn9andn9toes,n9abdominaln9crampsn9andn9diarrhe
a,n9andn9musclen9twitchingn9aren9manifestationsn9ofn9hypocalcemia.

Respiratoryn9Diagnosticn9Procedures:n9Planningn9Caren9forn9an9Clientn9Whon9Isn9Sch
eduledn9forn9an9Thoracentesisn9-n9ANSWERS--Preprocedure:
-
n9Percussion,n9auscultation,n9radiography,n9orn9sonographyn9isn9usedn9ton9locaten9th
en9effusionn9andn9needlen9insertionn9site.
-n9Assistn9then9oldern9clientn9ton9maintainn9stilln9forn9then9procedure
-
n9Positionn9then9clientn9sittingn9uprightn9withn9armsn9andn9shouldersn9raisedn9andn9su
pportedn9onn9pillowsn9and/orn9ann9overbedn9tablen9andn9withn9feetn9andn9legsn9well-
supported.
-n9Remainn9stills,n9non9coughingn9orn9talkingn9

Intraprocedure:
-n9Asepticn9techniquen9
-n9Monitorn9VS,n9skinn9color,n9andn9oxn9sat
-n9Amountn9ofn9fluidn9removedn9isn9limitedn9ton91Ln9atn9an9timen9ton9preventn9re-
expansionn9pulmonaryn9edeman9

Postprocedure:
-n9Applyn9dressingn9overn9puncturen9siten9
-n9Assessn9forn9bleedingn9orn9drainagen9
-n9Monitorn9VSn9andn9respiratoryn9statusn9hourlyn9forn9then9firstn9severaln9hoursn9
-n9Encouragen9deepn9breathen9ton9assistn9withn9lungn9expansion
-n9Obtainn9an9postproceduren9cxr

Thoracentesisn9-n9ANSWERS--
Thoracentesisn9isn9then9surgicaln9perforationn9ofn9then9chestn9walln9andn9pleuraln9spa
cen9withn9an9large-
boren9needle.n9Itn9isn9performedn9ton9obtainn9specimensn9forn9diagnosticn9evaluation,
n9instilln9medicationn9inton9then9pleuraln9space,n9andn9removen9fluidn9orn9airn9fromn9th
en9pleuraln9spacen9forn9therapeuticn9reliefn9ofn9pleuraln9pressure.

An9nursen9isn9reviewingn9informationn9withn9an9clientn9whon9isn9scheduledn9forn9pulm
onaryn9functionn9tests.n9Whichn9ofn9then9followingn9statementsn9shouldn9then9nursen9
make?
a.n9"Don9notn9usen9inhalern9medicationsn9forn96n9hrn9followingn9then9test."
b.n9"Don9notn9smoken9tobaccon9forn96-8n9hrn9priorn9ton9then9test."
c.n9"Youn9willn9ben9askedn9ton9bearn9downn9andn9holdn9yourn9breathn9duringn9then9tes
t."
d.n9"Then9arterialn9bloodn9flown9ton9yourn9handn9willn9ben9evaluatedn9asn9partn9ofn9the
n9test."n9-n9ANSWERS--b.n9"Don9notn9smoken9tobaccon9forn96-
8n9hrn9priorn9ton9then9test."