RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 FORM B WITH COMPLETE
SOLUTIONS/GRADE A+ ASSURED
1. The first action the nurse should take is to assess the client for injury due to
medication error. - ANSWER: Assess the client
2. A nurse is reviewing the medical record of a client who received medications 1 hr
ago and reports having chest pain. The nurse should recognize that chest pain can be
an adverse effect of which of the following medication?
A. Albuterol
B. Furosemide
C. Digoxin
D. Atenolol - ANSWER: A. Albuterol
3. A nurse is providing teaching to a client who has a new prescription for ranitidine
for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the
client that ranitidine treats ulcers through which of the following actions?
A. It decreases stomach motility
B. It reduces gastric acid production
C. It forms a protective barrier in the stomach lining.
D. It neutralizes gastric acid. - ANSWER: B. It reduces gastric acid production
4. A nurse is caring for a client who has open-angle glaucoma and a new prescription
for acetazolamide. Prior to administering the first dose, the nurse should ask the
client if they have allergy to which of the following medication classifications?
A. Nitrates
B. Sulfa-based medications
C. Antilipemic agents
D. Proton pump inhibitors - ANSWER: B. Sulfa-based medications
5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and
zidovudine. The client asks why they must take both medications. Which of the
following response should the nurse make?
A. If you take the two medications together, it will shorten the duration of you....
B. Taking the two medications together keeps you from becoming resistant to either
of them.
C. Taking the two medication together keeps you from developing toxicity from
either of them
D. Zidovudine will help protect you from the possible adverse effects of ritonavir -
ANSWER: B. Taking the two medications together keeps you from becoming
resistant to either of them.
6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is
starting to take immediate release exenatide. Which of the following client
statements indicates an understanding of the teaching?
, A. I will discard the open injector pen after two months
B. I will inject the medication into the muscle of my thigh
C. I will store open injector pens at room temperature
D. I will take this medication one hour before morning and evening meals. -
ANSWER: D. I will take this medication one hour before morning and evening meals.
7. A nurse is providing teaching to a client who has a new prescription for folic acid.
The client states I thought that was only given during pregnancy. Which of the
following statements should the nurse make?
A. Folic acid is important for stimulating the immune system
B. Folic acid is given to increase the absorption of the medication
C. Folic acid is administered to minimize the manifestations of benign prostatic
hyperplasia
D. Folic acid important for the building of blood cells. - ANSWER: D. Folic acid
important for the building of blood cells.
8. A nurse in the PACU is caring for a client who has received general anesthesia and
has manifestation of malignant hyperthermia. Which of the following medications
should the nurse expect to administer?
A. Diazepam
B. Dantrolene
C. Cyclobenzaprine
D. Metaxalone - ANSWER: B. Dantrolene
9. A nurse is caring for a client who refuses a prescribed influenza immunization.
Which of the following actions should the nurse take first?
A. Contact the provider who prescribed the immunization
B. Ask the client to describe their concerns
C. Provide the client with education about the immunization
D. Document the client refusal of the immunization - ANSWER: B. Ask the client to
describe their concerns
10. A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which
of the following solution the nurse expects to administer?
A. 0.45% sodium chloride
B. 0.9% sodium chloride
C. 3% sodium chloride
D. Lactated ringers - ANSWER: A. 0.45% sodium chloride
11. A nurse in an emergency department is caring for a client who has a new
prescription for acetylcysteine. For which of the following condition should the nurse
expect to administer this medication?
A. Gastrointestinal bleed
B. Acute bronchospasm
C. Morphine toxicity
D. Acetaminophen toxicity - ANSWER: D. Acetaminophen toxicity
ASSESSMENT 2019 FORM B WITH COMPLETE
SOLUTIONS/GRADE A+ ASSURED
1. The first action the nurse should take is to assess the client for injury due to
medication error. - ANSWER: Assess the client
2. A nurse is reviewing the medical record of a client who received medications 1 hr
ago and reports having chest pain. The nurse should recognize that chest pain can be
an adverse effect of which of the following medication?
A. Albuterol
B. Furosemide
C. Digoxin
D. Atenolol - ANSWER: A. Albuterol
3. A nurse is providing teaching to a client who has a new prescription for ranitidine
for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the
client that ranitidine treats ulcers through which of the following actions?
A. It decreases stomach motility
B. It reduces gastric acid production
C. It forms a protective barrier in the stomach lining.
D. It neutralizes gastric acid. - ANSWER: B. It reduces gastric acid production
4. A nurse is caring for a client who has open-angle glaucoma and a new prescription
for acetazolamide. Prior to administering the first dose, the nurse should ask the
client if they have allergy to which of the following medication classifications?
A. Nitrates
B. Sulfa-based medications
C. Antilipemic agents
D. Proton pump inhibitors - ANSWER: B. Sulfa-based medications
5. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and
zidovudine. The client asks why they must take both medications. Which of the
following response should the nurse make?
A. If you take the two medications together, it will shorten the duration of you....
B. Taking the two medications together keeps you from becoming resistant to either
of them.
C. Taking the two medication together keeps you from developing toxicity from
either of them
D. Zidovudine will help protect you from the possible adverse effects of ritonavir -
ANSWER: B. Taking the two medications together keeps you from becoming
resistant to either of them.
6. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is
starting to take immediate release exenatide. Which of the following client
statements indicates an understanding of the teaching?
, A. I will discard the open injector pen after two months
B. I will inject the medication into the muscle of my thigh
C. I will store open injector pens at room temperature
D. I will take this medication one hour before morning and evening meals. -
ANSWER: D. I will take this medication one hour before morning and evening meals.
7. A nurse is providing teaching to a client who has a new prescription for folic acid.
The client states I thought that was only given during pregnancy. Which of the
following statements should the nurse make?
A. Folic acid is important for stimulating the immune system
B. Folic acid is given to increase the absorption of the medication
C. Folic acid is administered to minimize the manifestations of benign prostatic
hyperplasia
D. Folic acid important for the building of blood cells. - ANSWER: D. Folic acid
important for the building of blood cells.
8. A nurse in the PACU is caring for a client who has received general anesthesia and
has manifestation of malignant hyperthermia. Which of the following medications
should the nurse expect to administer?
A. Diazepam
B. Dantrolene
C. Cyclobenzaprine
D. Metaxalone - ANSWER: B. Dantrolene
9. A nurse is caring for a client who refuses a prescribed influenza immunization.
Which of the following actions should the nurse take first?
A. Contact the provider who prescribed the immunization
B. Ask the client to describe their concerns
C. Provide the client with education about the immunization
D. Document the client refusal of the immunization - ANSWER: B. Ask the client to
describe their concerns
10. A nurse is caring for a client who has a prescription for a hypotonic Iv fluid. Which
of the following solution the nurse expects to administer?
A. 0.45% sodium chloride
B. 0.9% sodium chloride
C. 3% sodium chloride
D. Lactated ringers - ANSWER: A. 0.45% sodium chloride
11. A nurse in an emergency department is caring for a client who has a new
prescription for acetylcysteine. For which of the following condition should the nurse
expect to administer this medication?
A. Gastrointestinal bleed
B. Acute bronchospasm
C. Morphine toxicity
D. Acetaminophen toxicity - ANSWER: D. Acetaminophen toxicity
