(NGN) ATI RN | RN ATI CAPSTONE PROCTORED
COMPREHENSIVE ASSESSMENT 2023 FORM B
ALL QUESTIONS AND WELL VERIFIED
CORRECT ANSWERS LATEST VERSION FOR
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A nurse is caring for a client who had abdominal surgery 24 hours
ago. Which of the following actions is thepriority?
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitortheincisionsiteforfi
ndings of infectionC
The priority action the nurse should take when using the airway,
breathing, circulation approach to client care is to assist the
clientwithdeepbreathingandcoughing, which
reducestheriskforpostoperative pneumonia.
A nurse is talking with a client who has stage IV breast cancer.
The nurse should recognize which of the following statements by
the client as a constructive use of a defense mechanism?
A. I
have experienced physical discomfort when intimate with my
partner since my diagnosis
B. I wish other women would stop socializing with my partner
C. I told my doctor that I would like to start a support
group forotherwomen who are sick in mycommunity
D. Iused to mistrust my doctor, but now I know that she is
the best one to carefor me during my illnessC
This statement indicates that the client is using the constructive
defense mechanism
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sublimation by devising a socially acceptable alternative to facing
a reality that she does not wish to accept.
A nurse is caring for a client who has immunosuppression and a
continuous IV infusion. Which of the following actions should
the nurse take?
A. Assess the clients IV site every 8 hours
B. Check the clients WBC count every 48 hours
C. Monitortheclientsmouthevery8 hours
D. Change the clients IV
tubing every 48 hoursC
A nurse is caring for a 2-month-old infant who has Hirschsprung
disease (HD). Which of the following
areasshouldthenurseassessformanifestationsof HD?
A. Eyes area
B. Chest area
C. Lower abdominal area
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C
Hirschsprung disease is a condition that affects the large
intestine (colon) and causes problems with passing stool. This is
present at birth (congenital) as a result of missing nerve cells in
the muscle of thebaby's colon
A nurse at a mental health clinic is caring for four clients. The
nurse should recognize that which of the
followingclientsisusingdissociationasadefensemechanism?
A. Aclientforgets to
buytheirpartnerabirthdaygiftafteradisagreement
B. A client who was abused as a child describes the abuse as if it
happened to someone else.
C. A client who is shorter than average is verbally assertive with
coworkers
D. Aclientstatesthattheydidnotget
ajobpromotionbecausethebossdid notlikethemB
A nurse is providing teaching to a client who has a new diagnosis
of type 1 diabetes mellitus. The nurseshould instruct the client
to monitor for which of the following findings as a
manifestation of hypoglycemia?
A. irritability
B. increased urination
C. vomiting
D. facia
l
flushin
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