rn ati capstone proctored comprehensive assessment
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RN ATI CAPSTONE
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RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2023 B ATI COMPREHENSIVE
PRACTICE TEST B RATED A+ BEST REVIEW
• .A nurse is assessing a patient who received 2 units of packed RBCs 48 hours ago.
Whichof the following findings should indicate to the nurse that the therapyhas been
effective?
Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to patients who have
adecreased level of hemoglobin or hematocrit. This hemoglobin level is within the expected
reference rangeof 14 to 18 g/dl for males and 12 to 16 g/dl for females, indicating the
therapy has been effective.
• .A nurse working in a n emergency department is triaging four patients. Which
ofthefollowing patients should the nurse recommend for treatment first?
A middle adult patient who has unstable vital signs.
Using the stable versus unstable approach to patient care, the nurse should recommend
priority treatment for the patient who has unstable vital signs because this patient requires
immediate treatment to reduce the risk of further injury or possible death.
• A nurse is caring for a patient who has fluid volume overload. Which
of thefollowing tasks should the nurse delegate to the CNA?
Measure the patient’s daily weight
It is within the CNAs range of function to measure a patient’s daily weight, so the
nurseshoulddelegate this task to them.
• A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test
dose to a patient who has severe oliguria. The patient weighs 198lb. What is
theamount in gramsthe nurse should administer?
18 g
• A nurse is conducting a physical examination for an adolescent and
isassessingthe range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the leg awayfrom
themidline of the body.
,• A nurse is caring for a patient who has hyperthyroidism. Which of the
followingfindingsshould the nurse expect?
Tremors
Tremors are a manifestation of hyperthyroidism, along with tachycardia, diaphoresis,weight
loss, insomnia, and exophthalmia.
• A nurse is assessing a school-aged child who has bacterial meningitis. Whichof
thefollowing findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
• A nurse is assessing a newborn’s heart rate. Which of the following actionsshould
thenurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate assessment of heartrate
and rhythm. Auscultation of a newborn’s heart sounds can be difficult because of the rapid
rate andthe transmission of respiratory sounds.
• A nurse is preparing to assist with a thoracentesis for a patient who has pleurisy.The
nurse should plan to perform which of the following actions?
Instruct the patient to avoid coughing during the procedure.
It is important for the nurse to remind the patient to avoid coughing and to lie still during a
thoracentesis to avoid puncturing the pleura.
• A nurse in the ED is assessing a preschooler who has a facial laceration. The nurse
should identify which of the following findings as a potential indication of child sexual
abuse?
The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual abuse.
• A nurse is preparing to teach about dietary management to a patient who
hasCrohn’sdisease and an entero enteric fistula. Which of the following nutrients
should the nurse instruct the patient to decrease in their diet?
Fiber
The nurse should instruct the patient to consume a low-fiber diet to reduce diarrhea and
inflammation.
, • A nurse is caring for a patient who has a prescription for a continuous
passivemotion (CPM) machine following a total knee arthroplasty. Which of the
following actions should the nurse take?
Turn off the CPM machine during mealtime.
Thispromotes patient comfort and dietary
intake.
• A nurse is preparing to initiate IV access for an older adult patient. Which
of thefollowing sites should the nurse select when initiating the IV for the
patient?
Radial vein of the inner arm.
This site will have adequate subcutaneous tissue
• A nurse is developing a patient education program a bout osteoporosis for older
adult patients. The nurse should include which of the following variables as arisk
factor for osteoporosis?
Sedentary lifestyle.
This is a risk factor for osteoporosis. The nurse should encourage older adult patients to
engage inweight-bearing exercises because they will promote bone health by
increasingcalcium and phosphorus levels.
• A nurse in an ED is caring for a child who has a fever and fluid-filled vesicleson
the trunk and extremities. Which of the following interventions should the nurse
identify asthe priority?
Initiate transmission-based precautions
When using the urgent versus nonurgent approach to patient care, the nurse should determine
that the priority action is to initiate transmission-based precautions for the child. The child
most likely has varicella. Therefore, the nurse should isolate the child toprevent the spread of
the infection.
• A nurse is caring for a patient who has a clogged percutaneous
gastrostomyfeedingtube. Which of the following actions should the nurse take
first?
Change the position of the patient.
When providing patient care, the nurse should use the least restrictive intervention first.
Therefore, the nurse should reposition the patient to remove any kinks in the tube, which can
lead to clogging. If this method is unsuccessful, the nurse should attempt to flush oraspirate the
patient’s tube to remove the clog.
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