ATI RN Capstone Proctored Comprehensive B Exam

A nurse on an inpatient unit is assisting with the discharge plan for a client who has schizophrenia. Which of the folloving resources should the nurse include in the plan? Contact information for enrollment in a 12-step program Contact information for a community mental health center A referral for respite care services A list of primary prevention activities - Contact information for a community mental health center A nurse in a provider's office is reinforcing teaching with a client about performing testicular self-examination. Which of the following instructions should the nurse include? "Palpate both testicles firmly with your fingertips. Apply a cool compress to the scrotum prior to examination. Perform the self-examination every 3 months. Examine your testicles after a warm shower." - Examine your testicles after a warm shower." A nurse is planning care for a client who is 1 day postoperative following abdominal surgery. Which of the following tasks should the nurse delegate to an assistive personnel? Showing the client how to use an incentive spirometer Transferring the client from the bed to a chair Checking the client's surgical dressing for bleeding Determining whether the client has Incisional pain - Transferring the client from the bed to a chair A newly-licensed nurse tells another nurse that their password has expired and asks for assistance with inputting data into a client's electronic medical record. Which of the following statements should the nurse make? You won't be able to input any data until you reset your password." You can use my password on another terminal, but just this one time. If you'd like to give me the data, I can enter it for you." The charge nurse can log on for you and watch you input the data. - You won't be able to input any data until you reset your password." A nurse on a postpartum unit is caring for a group of clients. Which of the following clients is the nurse's priority? A client who is 1 day postpartum and has not voided in 8 hr 'client who is 4 days postpartum and has lochia Serosa A client who is 3 days postpartum and has not had a bowel movement since prior to admission A client who is 2 days postpartum and whose fundus is 2 to 4 cm below the umbilicus - A client who is 3 days postpartum and has not had a bowel movement since prior to admission A nurse is reinforcing home safety instructions with the guardian of an 18-monthold toddler. Which of the following responses by the guardian indicates an understanding of the teaching? I will place my child in a drop-side crib for napping. I will turn all pot handles toward the back of the stove." I will set the temperature of the water heater to 130 degrees." I will place my child's car seat forward-facing in the backseat." - I will turn all pot handles toward the back of the stove." A nurse is caring for a client who is at 6 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider? WBC 7.000/mm Hemoglobin 13 g/dL Blood glucose 130 mg/dL RBC 5.8 million/mm3 - Hemoglobin 13 g/dL A nurse is preparing to give change-of-shift report to the oncoming nurse. Which of the following information should the nurse include? Expected laboratory results Number of visitors Routine care Medical diagnosis - Expected laboratory results A nurse is reinforcing teaching with a client who has gestational diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? "My baby is at risk for being underweight at birth." "My baby will be monitored for hypoglycemia after birth." "I should ensure that only S percent of my daily calories come from protein sources." I will check my blood glucose once every 8 hours." - "My baby will be monitored for hypoglycemia after birth." A nurse is selecting foods for a client who is in the manic phase of bipolar disorder. Which of the following foods should the nurse offer the client? Mashed potatoes creamed corn Spaghetti with meat sauce Milkshake - Milkshake A nurse is preparing to perform an irrigation to remove a buildup of cerumen from a client's ear. Which of the following actions should the nurse take? Use cool water to flush the cerumen from the ear canal. Aim the stream of water directly at the cerumen impaction. Remind the client to use a cotton swab periodically to remove cerumen. Instill cerumen-softening drops before the irrigation. - Instill cerumen-softening drops before the irrigation A nurse is contributing to the plan of care for an adolescent client following surgery for a ruptured appendix. which of the following interventions should the nurse recommend to include in the plan? Offer the client a clear liquid diet when fully alert. Discontinue antibiotic therapy on the first postoperative day. Ensure that the client receives pain medication prior to ambulation. Encourage the client to change positions every 4 hr - Ensure that the client receives pain medication prior to ambulation. A nurse is preparing a room for a client who has a tracheostomy tube. Which of following supplies should the nurse place in the room? irrigation set Hemostats Obturator Povidone-iodine - Obturator A nurse is reinforcing teaching for a client who has a new prescription for lowdose aspirin. The nurse should inform the client that which of the following is known to interact with aspirin? Acetaminophen st. John's wort Ranitidine Ginkgo biloba - Ginkgo biloba A nurse is reinforcing teaching with a newly licensed nurse about incident reports. The nurse should identify that which of the following situations requires the completion of an incident report? Insulin lispro was administered to a client immediately before bed. Nitroglycerin transdermal was applied to a client's chest. Cefotaxime was administered to a client after obtaining blood cultures. Digoxin was administered to a client who has a heart rate of 64/min. - Insulin lispro was administered to a client immediately before bed. A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse? I take a blood thinner and I bump into things sometimes. "Please don't tell anyone you saw these: I do not want to go to a nursing home "My caregiver rearranged the furniture in the living room and I ran into the couch." "I don't like having to use my walker for short trips when I am in my home. - "Please don't tell anyone you saw these: I do not want to go to a nursing home A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse recommend? Offer the dient flulds high in fiber and protein every hour. Monitor the client's vital signs twice per day. Weigh the client three times per week. Encourage the client to participate in group therapy activitles each day. - Offer the dient flulds high in fiber and protein every hour. A nurse is collecting data from a client who is at 29 weeks of gestation. Which of the following findings should the nurse identify as a potential indication of a prenatal complication? Melasma Blurred vision Ptyalism Leg cramps - Blurred vision A nurse is reviewing a client's laboratory results prior to administering the client's medications. The nurse notes that the client's lithium level is 2.0 mEq/L. Which of the following findings should the nurse expect? Muscle irritability Hypoglycemia increased BP constipation - constipation A nurse is caring for a client who is pregnant and Rh-negative. The nurse should plan to monitor which of the following maternal laboratory test results to determine maternal-fetal blood incompatibility? Homocysteine aPTT Erythropoietin indirect Coombs - Erythropoietin A nurse is reinforcing teaching with a newly licensed nurse about discharge planning. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "A home hazard appraisal includes an assessment of the client's financial resources." The nurse should begin discharge planning upon the client's admission. *A medication reconciliation is required 24 hours prior to the client's discharge." The nurse is responsible for providing a written prescription for a client home care referral." - The nurse should begin discharge planning upon the client's admission. A nurse is reinforcing teaching with a group of clients about deep breathing exercises to manage stress. Which of the following techniques should the nurse include in the teaching? "Repeat the exercise for 15 minutes." "Each breath should be exhaled using rapid, short breaths." "Take a deep breath through your mouth." "Hold inhaled breath for 3 seconds." - "Hold inhaled breath for 3 seconds." A nurse is reinforcing dietary teaching with a client who has a new ileostomy. Which of the following foods should the nurse recommend? Dried apricots Sunflower seeds Oranges yogurt - yogurt A nurse is monitoring a client who has bipolar disorder and is exhibiting manifestations of mania. Which of the following findings should the nurse expect? (Select all that apply.) Overeating Anhedonia Grandiose thinking Flight of ideas Distractibility - Anhedonia Grandiose thinking Flight of ideas A nurse is caring for a client who has heart failure and is taking furosemide. Which of the following statements by the client indicates a need for the nurse to intervene? I suck on hard candy for my dry mouth." I'm urinating in larger amounts." I've lost 3 pounds in the last week." I have to sleep sitting up." - I have to sleep sitting up." A nurse is assisting with the admission of a client to an acute-care unit following a suicide attempt. Which of the following actions should the nurse take first? Assign the client to a semi-private room. Attend an interdisciplinary team meeting. Document the client's mood and affect. Search the client's personal belongings. - Search the client's personal belongings. A nurse is reinforcing discharge teaching with the guardian of a child who had a cardiac catheterization 1 hr ago. Which of the following statements should the nurse include? Your child can take a tub bath tomorrow." You should keep your child home from school for 2 days." Your child can resume a regular diet when you return home." You can remove the pressure dressing from the site in 4 hours." - You should keep your child home from school for 2 days." A nurse is administering the inactivated influenza vaccine to a group of clients at a health clinic. The nurse should recognize that which of the following conditions is a contraindication for this vaccine? Allergy to gelatin immunosuppression Moderate illness with fever Pregnancy - Moderate illness with fever A nurse is assisting with the care of a client who is receiving 1 unit of packed RBs. The client is coughing and reports a headache and difficulty breathing. The client's vital signs indicate tachycardia and hypertension. The nurse should identify that the client is experiencing which of the following types of transfusion reactions? Mild allergic Febrile nonnemolytic Sepsis Circulatory overload - Sepsis A nurse is collecting data from a 24-month-old toddler during an annual physical examination. Which of the following findings should the nurse report to the provider? Jumps with both feet Can draw a circle Weighs 12 kg (26.5 Ib) Has a vocabulary of four words - Weighs 12 kg (26.5 Ib) A nurse is collecting data from an adult client. The nurse should identify that which of the following conditions increases the client's risk for falls? GERD Hyperthyroidism crohn's disease Multiple sclerosis - Multiple sclerosis A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments. Wh following ethical principles is the nurse upholding? justice veracity Autonomy Fidelity - justice A nurse is contributing to the plan of care for a client who has delirium. Which of the following interventions should the nurse recommend to include in the plan? Place a calendar in the client's room. Provide the client with four food choices at each meal. vary the client's activities daily. Assign a different caregiver to the client each day. - Place a calendar in the client's room. A nurse is checking a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this reflex? Place the newborn on a flat surface and clap hands loudly. Place the newborn on their abdomen and observe the movement of their extremities. Stroke upward on the lateral aspect of the newborn's foot. Stroke the newborn's cheek toward their mouth. - Stroke the newborn's cheek toward their mouth. A nurse is contributing to the preparation of an in-service about child maltreatment for a group of staff members. Which of the following information should the nurse recommend? A child is at the highest risk for abuse from birth through 1 year of age. Sexual abuse is most often committed by a person who the child does not know. Physical neglect includes a failure to meet a child's needs for affection and attention. Emotional abuse is the most common form of child maltreatment. - A child is at the highest risk for abuse from birth through 1 year of age A nurse at a long-term care facility is caring for a client who has AIDS. The client accidentally spills the contents of their urinal on the floor. After cleaning up the spill with soap and water, the nurse should apply a solution of water and which of the following disinfectants to the floor? Chlorhexidine Bleach Hydrogen peroxide Isopropyl alcohol - Bleach