ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which of the
following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ans4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine
that the medication is appropriate if the client displays which of the
following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ans3
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - ans1
a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - ansbenzodiazepine
overdose
a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole (
Mirapex) for which of the following should the nurse monitor this client - ansorthostatic hypotension
a client who is start taking lithium carbonate month ago tell the nurse she has just begun taking multiply
daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or why not
? - answhat , if any is the appropriate action for the nurse to take NSAIDS such as ibuprofen increase the
renal reabsorption of lithium carbonate , possibly leading to lithium carbonate toxicity . therefor this
client would avoid NSAIDS . the nurse should notify the provider of client headache and ibuprofen us
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ans4
A client with newly diagnosed type I diabetes mellitus is being seen by
the home health nurse. The physician orders include: 1,200-calorie ADA
diet, 15 units of NPH insulin before breakfast, and check blood sugar qid.
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
When the nurse visits the client at 5 PM, the nurse observes the man
performing a blood sugar analysis. The result is 50 mg/dL. The nurse would
expect the client to be
1. confused with cold, clammy skin and a pulse of 110.
2. lethargic with hot, dry skin and rapid, deep respirations.
3. alert and cooperative with a BP of 130/80 and respirations of 12.
4. short of breath, with distended neck veins and a bounding pulse of 96. - ans1
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - ans2
A nonstress test is scheduled for a client at 34-weeks gestation who
developed hypertension, periorbital edema, and proteinuria. Which of the
following nursing actions should be included in the care plan in order to
BEST prepare the client for the diagnostic test?
1. Start an intravenous line for an oxytocin infusion.
2. Obtain a signed consent prior to the procedure.
3. Instruct client to push a button when she feels fetal movement.
4. Attach a spiral electrode to the fetal head. - ans3
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who
has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ansA
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of
the following is the BEST indication that the patient's nutritional status has
improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. - ans3
A nurse is caring for a client following an acute myocardial infarction. The client is concerned that
providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the
nurse implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care - ansC
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the
client has developed phlebitis and removes the IV catheter. Which of the following actions should the
nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter - ansA
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - ansA
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions
should the nurse take?
a) wear sterile gloves when removing the old dressing
b) warm the irrigation solution to 40.5C (105F)
c) cleanse the wound from the center outwards
d) use a 20 mL syringe to irrigate the wound - ansC
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following
should be used to irrigate the tube in order to maintain fluid and electrolyte balance?
a) tap water
b) sterile water
c) 0.9% sodium chloride
d) 0.45% sodium chloride - ansC
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse
take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - ansA
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
SATA
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
c) limit each visitor to 2 hr increments
d) wear a surgical mask when providing care
e) Use antimicrobial sanitizer for hand hygiene - ansA
B
E
, ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
A nurse is caring for a client who is having difficulty voiding following the removal in an indwelling urinary
catheter. Which of the following interventions should the nurse take?
a) assess for bladder distention after 6 hr
b) encourage the client to use a bed pan in the supine position
c) restrict the clients intake of oral fluids
d) pour warm water over the clients perineum - ansD
A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following client
statements indicates an understanding of the procedure?
a) "I had a bowel movement, but I was able to save the urine"
b) "I have a specimen in the bathroom from about 30 minutes ago"
c) "I flushed what I urinated at 7 am and have saved the rest since"
d) "I drink a lot, so I will fill up the bottle and complete the test quickly" - ansC
a nurse is caring for a client who prescribed daily dose of both digoxin ( llanoxin ) and furosemide ( Lasix)
. the client potassium level 3.2 mEq/L for which of the following medication interaction is the client at risk -
ansToxic level of digoxin
A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the
nurse should advise the client to:
a) restrict fluid intake to 1 qt (1,000 ml)/day.
b) drink liquids only between meals.
c) don't drink liquids 2 hours before meals.
d) drink liquids only with meals. - ansB
A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client
during the first 24 hours after admission?
a) Skim milk
b) Nothing by mouth
c) Regular diet
d) Clear liquids - ansB
A nurse is caring for an older adult client who ahs a new prescription for digoxin and takes multiple other
medications. Concurrent use of which of the following medications places the client at risk for digoxin
toxicity? - ans* Verapamil (Calan)
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of
the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - ansB
C
D
A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an
appropriate nursing action?
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which of the
following?
1. A significant increase in pulse rate.
2. A decrease in diastolic blood pressure.
3. Temperature in excess of 98.6°F (37°C).
4. Urine output of at least 30 cc per hour. - ans4
A client is scheduled for a left lower lobectomy. The physician has
ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine
that the medication is appropriate if the client displays which of the
following symptoms?
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure. - ans3
A client returns to his room following a myelogram. The nursing care
plan should include which of the following?
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side. - ans1
a client should receive a dose of flumazenil ( romazicon) to treat symptoms of - ansbenzodiazepine
overdose
a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole (
Mirapex) for which of the following should the nurse monitor this client - ansorthostatic hypotension
a client who is start taking lithium carbonate month ago tell the nurse she has just begun taking multiply
daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or why not
? - answhat , if any is the appropriate action for the nurse to take NSAIDS such as ibuprofen increase the
renal reabsorption of lithium carbonate , possibly leading to lithium carbonate toxicity . therefor this
client would avoid NSAIDS . the nurse should notify the provider of client headache and ibuprofen us
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids. - ans4
A client with newly diagnosed type I diabetes mellitus is being seen by
the home health nurse. The physician orders include: 1,200-calorie ADA
diet, 15 units of NPH insulin before breakfast, and check blood sugar qid.
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
When the nurse visits the client at 5 PM, the nurse observes the man
performing a blood sugar analysis. The result is 50 mg/dL. The nurse would
expect the client to be
1. confused with cold, clammy skin and a pulse of 110.
2. lethargic with hot, dry skin and rapid, deep respirations.
3. alert and cooperative with a BP of 130/80 and respirations of 12.
4. short of breath, with distended neck veins and a bounding pulse of 96. - ans1
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - ans2
A nonstress test is scheduled for a client at 34-weeks gestation who
developed hypertension, periorbital edema, and proteinuria. Which of the
following nursing actions should be included in the care plan in order to
BEST prepare the client for the diagnostic test?
1. Start an intravenous line for an oxytocin infusion.
2. Obtain a signed consent prior to the procedure.
3. Instruct client to push a button when she feels fetal movement.
4. Attach a spiral electrode to the fetal head. - ans3
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who
has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ansA
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of
the following is the BEST indication that the patient's nutritional status has
improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL. - ans3
A nurse is caring for a client following an acute myocardial infarction. The client is concerned that
providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the
nurse implement to promote the client's independence?
a) request an occupational therapy consult to determine the need for assistive devices
b) assign assistive personnel to perform self-care tasks for client
c) instruct the client to focus on gradually resuming self-care tasks
d) ask the client if a family member is available to assist with his care - ansC
,ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the
client has developed phlebitis and removes the IV catheter. Which of the following actions should the
nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter - ansA
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - ansA
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions
should the nurse take?
a) wear sterile gloves when removing the old dressing
b) warm the irrigation solution to 40.5C (105F)
c) cleanse the wound from the center outwards
d) use a 20 mL syringe to irrigate the wound - ansC
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following
should be used to irrigate the tube in order to maintain fluid and electrolyte balance?
a) tap water
b) sterile water
c) 0.9% sodium chloride
d) 0.45% sodium chloride - ansC
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse
take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - ansA
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
SATA
a) Place the client in a negative pressure room
b) wear gloves when assisting the client with oral care
c) limit each visitor to 2 hr increments
d) wear a surgical mask when providing care
e) Use antimicrobial sanitizer for hand hygiene - ansA
B
E
, ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2019 B (UPDATED 2023) NGN
QUESTIONS WITH 100% VERIFIED ANSWERS
A nurse is caring for a client who is having difficulty voiding following the removal in an indwelling urinary
catheter. Which of the following interventions should the nurse take?
a) assess for bladder distention after 6 hr
b) encourage the client to use a bed pan in the supine position
c) restrict the clients intake of oral fluids
d) pour warm water over the clients perineum - ansD
A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following client
statements indicates an understanding of the procedure?
a) "I had a bowel movement, but I was able to save the urine"
b) "I have a specimen in the bathroom from about 30 minutes ago"
c) "I flushed what I urinated at 7 am and have saved the rest since"
d) "I drink a lot, so I will fill up the bottle and complete the test quickly" - ansC
a nurse is caring for a client who prescribed daily dose of both digoxin ( llanoxin ) and furosemide ( Lasix)
. the client potassium level 3.2 mEq/L for which of the following medication interaction is the client at risk -
ansToxic level of digoxin
A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the
nurse should advise the client to:
a) restrict fluid intake to 1 qt (1,000 ml)/day.
b) drink liquids only between meals.
c) don't drink liquids 2 hours before meals.
d) drink liquids only with meals. - ansB
A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client
during the first 24 hours after admission?
a) Skim milk
b) Nothing by mouth
c) Regular diet
d) Clear liquids - ansB
A nurse is caring for an older adult client who ahs a new prescription for digoxin and takes multiple other
medications. Concurrent use of which of the following medications places the client at risk for digoxin
toxicity? - ans* Verapamil (Calan)
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of
the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - ansB
C
D
A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an
appropriate nursing action?
