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ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2024| NGN QUESTIONS WITH 100% CORRECT ANSWERS

Name: ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2024| NGN QUESTIONS WITH 100% CORRECT ANSWERS
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ATI RN CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT 2024| NGN QUESTIONS WITH 100% CORRECT ANSWERS . If a client develops cor pulmonale (right-sided heart failure), the nursewould expect to observe 1. increasing respiratory difficulty seen with exertion. 2. cough productive of a large amount of...

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ATI RN CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2024| NGN QUESTIONS WITH 100%
CORRECT ANSWERS

If a patient develops cor pulmonale (right-sided heart failure), the nurse should anticipate
observing:

1. Increasing difficulty breathing, especially with exertion.
2. A cough that produces a significant amount of thick, yellow mucus.
3. Swelling in the extremities (peripheral edema) and loss of appetite (anorexia).
4. Muscle twitching in the limbs.
Correct Answer: 3

The nursing team consists of two registered nurses (RNs), one licensed practical/vocational nurse
(LPN/LVN), and one nursing assistant. The nurse should determine that assignments are
appropriate if the nursing assistant is assigned to:

1. Assist a client with Alzheimer's disease who needs help with eating.
2. Care for a client with osteoporosis who reports a burning sensation during urination.
3. Provide care to a client with scleroderma who is receiving tube feeding.
4. Attend to a client with cancer experiencing Cheyne-Stokes respirations.
Correct Answer: 1

A 23-year-old male is admitted with a subdural hematoma and brain swelling (cerebral edema)
following a motorcycle accident. Which initial symptom should the nurse expect to observe?

1. Unequal and dilated pupils.
2. Decerebrate posturing.
3. Generalized (grand mal) seizures.
4. A decreased level of consciousness.
Correct Answer: 4

A 23-year-old pregnant woman at 32 weeks' gestation visits the outpatient clinic. Which of the
following findings, if observed by the nurse, may indicate a possible complication?

1. A urine test that is positive for glucose and acetone.
2. Mild swelling (1+ pedal edema) in both feet by the end of the day.
3. An increase in vaginal discharge.
4. A sensation of pressure against the diaphragm when the baby moves.
Correct Answer: 1

A 38-year-old woman returns to her room after undergoing a subtotal thyroidectomy for
hyperthyroidism. Which of the following items, if found at the bedside, is unnecessary?

1. Potassium chloride for intravenous (IV) administration.
2. Calcium gluconate for IV administration.

, 3. A tracheostomy setup.
4. Suction equipment.
Correct Answer: 1

A 59-year-old woman diagnosed with bipolar disorder is taking haloperidol (Haldol) 2 mg orally
three times a day. She tells the nurse, "Milk is coming out of my breasts." Which response from the
nurse is most appropriate?

1. "You are imagining things that aren’t real."
2. "Let’s go make some fudge together."
3. "This is a side effect of Haldol."
4. "I will contact your doctor to consider changing your medication."
Correct Answer: 3

A 69-year-old patient is undergoing the second exchange of intermittent peritoneal dialysis (IPD).
Which of the following findings requires nursing intervention?

1. The patient reports pain during the inflow of the dialysate.
2. The patient complains of constipation.
3. The dialysate outflow appears cloudy.
4. There is blood-tinged fluid around the intra-abdominal catheter.
Correct Answer: 3

A charge nurse is educating staff about the responsibilities of caring for patients with
Clostridioides difficile (C. difficile). Which of the following instructions should be included?
a) Assign the patient to a room with a negative air-flow system.
b) Use an alcohol-based hand sanitizer after leaving the patient’s room.
c) Disinfect contaminated surfaces in the patient’s room using a phenol solution.
d) Instruct family members to wear a gown and gloves when visiting.
Correct Answer: D

A client with dementia frequently wanders through the hallways of a secured nursing unit during
the day. What is the best action for the nurse to ensure the client's safety?

1. Administer PRN haloperidol (Haldol) to reduce the need for walking.
2. Assess the client’s gait to evaluate steadiness.
3. Use a geriatric chair restraint.
4. Administer PRN lorazepam (Ativan) to induce sedation.
Correct Answer: 2

A client has a history of decreased urine output (oliguria), high blood pressure (hypertension), and
peripheral edema. Current lab results are:

 Blood Urea Nitrogen (BUN): 25
 Potassium (K+): 4.0 mEq/L

Which nutrient should be restricted in the client’s diet?

1. Protein.

, 2. Fats.
3. Carbohydrates.
4. Magnesium.
Correct Answer: 1

A patient has been prescribed spironolactone (Aldactone). Which laboratory result should prompt
the nurse to withhold the morning dose and notify the healthcare provider?
Correct Answer: Serum potassium level of 5.2

A patient has been prescribed valproic acid (Depakote). Which laboratory values should the nurse
monitor for this patient?
Correct Answer: Thrombocyte count, amylase level, and liver function tests.

A patient is admitted with a diagnosis of acute appendicitis. During the abdominal assessment,
where should the nurse expect to find rebound tenderness?
a) Lower left quadrant
b) Upper left quadrant
c) Upper right quadrant
d) Lower right quadrant
Correct Answer: D

A patient is being discharged with a prescription for sublingual nitroglycerin (Nitrostat). The nurse
should advise the patient to:

1. Take the medication five minutes after the onset of pain.
2. Stop using the medication if no stinging sensation is felt.
3. Take the medication on an empty stomach.
4. Avoid sudden changes in position.
Correct Answer: 4

A patient receives 6 mg of IV morphine for postoperative pain. After administration, the nurse
observes the following: pulse 68, respirations 8, blood pressure 100/68, and the patient is sleeping
quietly. What is the most appropriate nursing action?

1. Allow the patient to continue sleeping.
2. Administer oxygen through a facemask or nasal prongs.
3. Give naloxone (Narcan).
4. Keep epinephrine 1:1,000 readily available.
Correct Answer: 3

, A patient is receiving total parenteral nutrition (TPN). To evaluate the patient’s tolerance to this
therapy, the nurse should assess:

1. A significant increase in heart rate.
2. A decrease in diastolic blood pressure.
3. A body temperature above 98.6°F (37°C).
4. Urine output of at least 30 mL per hour.
Correct Answer: 4

A patient is scheduled for a left lower lobectomy. The physician has prescribed diazepam (Valium)
2 mg IM for anxiety. The nurse should confirm that the medication is appropriate if the patient
exhibits:

1. Agitation with decreased consciousness.
2. Lethargy and a reduced respiratory rate.
3. Restlessness and an increased heart rate.
4. Hostility with high blood pressure.
Correct Answer: 3

After a myelogram, which nursing intervention should be included in the patient’s care plan?

1. Encourage oral fluid intake.
2. Keep the patient in a prone position for 12 hours.
3. Encourage the patient to ambulate soon after the procedure.
4. Check the patient’s distal pulses on the affected side.
Correct Answer: 1

A patient should receive a dose of flumazenil (Romazicon) to manage symptoms of:
Correct Answer: Benzodiazepine overdose

A patient diagnosed with Parkinson’s disease is prescribed levodopa/carbidopa (Sinemet) and
pramipexole (Mirapex). For which side effect should the nurse monitor the patient?
Correct Answer: Orthostatic hypotension

A patient who started taking lithium carbonate a month ago tells the nurse she has recently started
taking multiple daily doses of ibuprofen (Motrin) for tension headaches. Should the patient avoid
ibuprofen, and why?
Correct Answer:
Yes, the patient should avoid ibuprofen because NSAIDs such as ibuprofen increase renal

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