100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
RN ATI Capstone Proctored Comprehensive Assessment 2025 A/ ATI Comprehensive 2025 A| Answers And Rationale- Complete Test Bank (180 Questions) $25.00
Add to cart

Exam (elaborations)

RN ATI Capstone Proctored Comprehensive Assessment 2025 A/ ATI Comprehensive 2025 A| Answers And Rationale- Complete Test Bank (180 Questions)

 5 purchases
  • Course
  • RN ATI Capstone
  • Institution
  • RN ATI Capstone

RN ATI Capstone Proctored Comprehensive Assessment 2025 A/ ATI Comprehensive 2025 A| Answers And Rationale- Complete Test Bank (180 Questions) RN ATI Capstone Proctored Comprehensive Assessment 2025 A/ ATI Comprehensive 2025 A| Answers And Rationale- Complete Test Bank (180 Questions)

Preview 8 out of 106  pages

  • November 29, 2024
  • 106
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RN ATI Capstone
  • RN ATI Capstone
avatar-seller
Bestmaxsolutions
RN ATI Capstone Proctored Comprehensive Assessment 2025
A/ ATI Comprehensive 2025 A| Answers And Rationale-
Complete Test Bank (180 Questions)



1. A client who has a diagnosis of complete placenta previa is admitted to the labor and

delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in

duration. Which of the following actions should the nurse take?

A. Rupture the amniotic sac

B. Medicate the client for pain

C. Prepare the client for a cesarean section

D. Perform a vaginal exam

Correct Answer: C. Prepare the client for a cesarean section

Rationale: In complete placenta previa, the placenta covers the cervix, making vaginal

delivery unsafe due to the risk of hemorrhage. A cesarean section is the preferred method

of delivery to protect both the mother and the fetus.



2. A nurse enters a client's room and finds the client lying on the floor in a puddle of

water. Which of the following statements should the nurse document in an incident

report?

A. Client fell out of bed because an assistive personnel left the rails of the bed down

B. Client's roommate thinks the client is confused and fell when getting out of bed

C. Client appears to have slipped in water but reports no injuries

D. Client found lying on the floor near the bedside table

,Correct Answer: D. Client found lying on the floor near the bedside table

Rationale: Incident reports should document objective findings, such as the position of

the client and the surroundings, without speculating or making assumptions about causes.

The nurse should avoid attributing blame to other staff members or making subjective

statements about the client’s condition.



3. A charge nurse on a pediatric unit is making assignments for a float nurse from the

medical unit. Which of the following clients is appropriate to assign to the float nurse?

A. A 10-year-old client who has pneumonia and is receiving respiratory treatments

B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy

C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal

defect tomorrow

D. A 14-year-old client who is scheduled for discharge today following placement of a

Herrington rod

Correct Answer: A. A 10-year-old client who has pneumonia and is receiving

respiratory treatments

Rationale: The float nurse should be assigned a stable pediatric client with less complex

needs. A child with pneumonia who requires respiratory treatments is likely to be the

least complex and most manageable assignment for a nurse with medical unit experience.



4. A nurse is preparing to administer vancomycin to a client who has an infected wound.

The nurse should plan to monitor for which of the following adverse reactions?

A. Hepatotoxicity

,B. Ototoxicity

C. Hypercalcemia

D. Hypertension

Correct Answer: B. Ototoxicity

Rationale: Vancomycin can cause ototoxicity, which may manifest as hearing loss or

tinnitus. It is essential to monitor the client’s hearing and balance when administering this

medication, especially if used in high doses or for extended periods.



5. A nurse is assessing an infant who has water intoxication. Which of the following

findings should the nurse expect?

A. Generalized edema

B. Elevated urine specific gravity

C. Thready pulse

D. Increased hematocrit

Correct Answer: C. Thready pulse

Rationale: Water intoxication leads to a dilution of sodium levels in the body, which can

cause signs of fluid imbalance such as a thready pulse, hypotension, and irritability. Other

findings may include hyponatremia and generalized edema, but thready pulse is a key

sign.



6. A home health nurse is conducting an initial home visit for a client who has terminal

breast cancer. The client has two school-age children and a limited support system.

Which of the following is the priority nursing action?

,A. Inform the client of available community resources

B. Assist the client in finding child care options

C. Agree upon short-term goals for the client

D. Ask the client about their understanding of the diagnosis

Correct Answer: A. Inform the client of available community resources

Rationale: The priority is to support the client with the resources that will be most

helpful in managing their care, particularly given the limited support system. Community

resources can assist with caregiving, emotional support, and financial aid.



7. A nurse in an emergency department is assessing a client who has a nasal fracture.

Which of the following findings should cause the nurse to suspect a skull fracture?

A. Clear fluid drainage from the nares

B. Report of pain around the eyes

C. Dried blood in the mouth

D. Mandibular asymmetry

Correct Answer: A. Clear fluid drainage from the nares

Rationale: Clear fluid drainage from the nares, particularly if it is cerebrospinal fluid

(CSF), is a potential indicator of a skull fracture. This could suggest a fracture of the

cribriform plate, which allows CSF to leak from the brain.



8. A nurse in an urgent care clinic is collecting admission history from a client who is at

16 weeks of gestation and has bacterial vaginosis. The nurse should recognize that which

of the following clinical findings are associated with this infection?

,A. Profuse milky white discharge

B. Frequency and dysuria

C. Low-grade fever

D. Hematuria

Correct Answer: A. Profuse milky white discharge

Rationale: Bacterial vaginosis (BV) is typically associated with a thin, grayish, or milky

white discharge with a fishy odor. This is a hallmark symptom, distinguishing it from

other infections such as urinary tract infections (UTIs).



9. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed

nurse. Which of the following statements indicates the newly licensed nurse understands

the purpose of the technique?

A. This technique prevents injury to the sciatic nerve

B. This technique decreases the risk of subcutaneous infiltration

C. This technique allows a larger amount of medication to be injected

D. This technique increases the absorption rate of the drug

Correct Answer: B. This technique decreases the risk of subcutaneous infiltration

Rationale: The z-track method is used to prevent the medication from leaking into the

subcutaneous tissue, thus reducing irritation and discomfort at the injection site. It does

not affect the sciatic nerve, absorption rate, or volume of medication.



10. A nurse is caring for a full-term newborn immediately following birth. Which of the

following actions should the nurse take first?

,A. Instill erythromycin ophthalmic ointment in the newborn's eyes

B. Weigh the newborn

C. Place identification bracelets on the newborn

D. Dry the newborn

Correct Answer: D. Dry the newborn

Rationale: The first action following birth is to dry the newborn to prevent heat loss, as

newborns are prone to hypothermia. Drying also stimulates the newborn to breathe.



11. A nurse is planning to provide community education about viral hepatitis. Which of

the following should the nurse plan to include in the teaching?

A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis

B. Hepatitis B is transmitted by contaminated food

C. Chronic hepatitis can lead to renal cell cancer

D. Clients who have a history of viral hepatitis are unable to donate blood

Correct Answer: D. Clients who have a history of viral hepatitis are unable to

donate blood

Rationale: People with a history of viral hepatitis are deferred from donating blood to

prevent transmission of the virus to recipients.



12. A nurse in a residential mental health facility is planning care for a new client who

has obsessive compulsive disorder. Which of the following is appropriate for the nurse to

include in the plan of care?

A. Work with the client to create a flexible daily schedule

,B. Gradually decrease the time allowed for ritualistic behavior

C. Offer solutions to assist in problem solving

D. Teach the client to meditate about obsessive thoughts

Correct Answer: A. Work with the client to create a flexible daily schedule

Rationale: Creating a flexible daily schedule can help clients with OCD manage their

compulsions by offering structure while still allowing for some flexibility. Gradually

decreasing ritualistic behavior can be done over time with behavioral therapy.



13. A nurse is assessing an adult male who has a BMI of 20. The nurse should identify

that the client's BMI falls within which of the following categories?

A. Healthy weight

B. Malnutrition

C. Overweight

D. Obesity

Correct Answer: A. Healthy weight

Rationale: A BMI of 20 falls within the normal or healthy weight range, which is 18.5–

24.9. Malnutrition would typically be indicated by a BMI under 18.5.



14. A nurse is caring for a client who is nulliparous and in the first stage of labor. The last

internal assessment revealed 100% cervical effacement with 5 cm of dilation. At the end

of the last contraction, the nurse observes a large gush of fluid coming out of the client's

perineal area. Which of the following is a priority action by the nurse?

A. Perform another internal exam

, B. Notify the client's provider

C. Check the FHR

D. Obtain a pH test of the fluid

Correct Answer: C. Check the FHR

Rationale: The priority is to check the fetal heart rate (FHR) to ensure the fetus is not in

distress, particularly since there was a large gush of fluid, which could indicate amniotic

fluid or a potential complication.



15. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the

following interventions should the nurse include in the plan?

A. Encourage the client to gain 2.3 kg per week

B. Weigh the client once per week throughout hospitalization

C. Monitor the client for 1 hr after meals

D. Allow the client to choose meal times

Correct Answer: C. Monitor the client for 1 hr after meals

Rationale: Monitoring the client for 1 hour after meals is necessary to ensure the client

does not purge or engage in compensatory behaviors, which are common in anorexia

nervosa. The other options may not be as appropriate for effective management of the

condition.




16. A nurse is performing a skin assessment on a client who has risk factors for

development of skin cancer. The nurse should understand that a suspicious lesion is:

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestmaxsolutions. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $25.00. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$25.00  5x  sold
  • (0)
Add to cart
Added