ESTUDY
RN ATI CAPSTONE PROCTORED COMPREHENSIVE
ASSESSMENT 2025
1. Why would a nurse place a client with dysphagia in the high-fowler's position?
a. To reduce nausea
b. To prevent aspiration during meals
c. To improve blood circulation
d. To decrease back pain
Answer: b. To prevent aspiration during meals
2. Which of the following are examples of primary skin lesions?
a. Macule and papule
b. Erosion and fissure
c. Keloid and scar
d. Ulcer and scale
Answer: a. Macule and papule
Description:
Macule: A flat, non-palpable skin color change, less than 1 cm (e.g., freckle).
Papule: A small, raised, palpable lesion, less than 0.5 cm (e.g., elevated mole).
3. What are common fall prevention measures for older adult clients with dementia?
a. Reduce lighting in the room
b. Keep the bed in a high position
c. Use fall-risk alerts like ID wristbands
d. Limit fluid intake
Answer: c. Use fall-risk alerts like ID wristbands
4. What are three possible complications of constipation in elderly clients?
a. Diarrhea, fever, and weight gain
b. Fecal impaction, hemorrhoids, and syncope
c. Nausea, vomiting, and headache
d. Muscle cramps, fatigue, and coughing
Answer: b. Fecal impaction, hemorrhoids, and syncope
,ESTUDY
5. What symptom might an older client experience due to decreased cardiac output and
weaker heart contractions?
a. Increased appetite
b. High blood pressure
c. Poor activity tolerance
d. Sudden weight gain
Answer: c. Poor activity tolerance
6. What is the therapeutic level range for digoxin, and what are three signs of digoxin
toxicity?
a. 0.1 to 0.3 ng/mL; headache, dizziness, and nausea
b. 0.5 to 2 ng/mL; fatigue, vision changes, and GI effects
c. 2 to 5 ng/mL; increased heart rate, sweating, and chills
d. 3 to 6 ng/mL; confusion, fever, and joint pain
Answer: b. 0.5 to 2 ng/mL; fatigue, vision changes, and GI effects
7. A client taking both terbutaline and propranolol experiences chest pain. What is the likely
cause?
a. High blood pressure
b. Interaction between the medications causing angina
c. Overhydration
d. Decreased heart rate
Answer: b. Interaction between the medications causing angina
8. A client using oxybutynin for overactive bladder is experiencing side effects. What actions
can help reduce these effects?
a. Increase caffeine intake and exercise regularly
b. Increase dietary fiber and consume 2 to 3 L of fluid per day
c. Decrease fluid intake and take medication with food
d. Use laxatives and sleep more
Answer: b. Increase dietary fiber and consume 2 to 3 L of fluid per day
9. When a client is prescribed both an albuterol inhaler and a beclomethasone inhaler, what
instructions should be given?
a. Use both inhalers together
b. Use beclomethasone first, then albuterol
c. Use albuterol first, wait 5 minutes, then use beclomethasone
d. Inhale deeply only once
, ESTUDY
Answer: c. Use albuterol first, wait 5 minutes, then use beclomethasone
10. What are three common indications for folic acid therapy?
a. Iron deficiency, skin rashes, and headaches
b. Treatment of megaloblastic anemia, prevention of neural tube defects, and malabsorption
syndrome treatment
c. Weight gain, vision improvement, and increased muscle strength
d. Sleep disorders, joint pain, and dehydration
Answer: b. Treatment of megaloblastic anemia, prevention of neural tube defects, and
malabsorption syndrome treatment
11. A client receiving filgrastim for neutropenia needs careful monitoring. What are three
nursing considerations?
a. Monitor liver function, provide a high-protein diet, and restrict fluids
b. Assess bone pain, monitor white blood cell count, and observe for signs of infection
c. Encourage physical activity, provide aspirin, and monitor blood pressure
d. Check blood sugar levels, increase fluid intake, and provide vitamin supplements
Answer: b. Assess bone pain, monitor white blood cell count, and observe for signs of infection
12. Why is it important for a nurse to assess a patient's pain level regularly?
a. To administer more pain medications
b. To monitor the patient's heart rate
c. To provide appropriate pain management and comfort
d. To check if the patient can walk
Answer: c. To provide appropriate pain management and comfort
13. What is a key nursing action when caring for a patient with an indwelling
catheter?
a. Keep the catheter bag on the bed at all times
b. Ensure the catheter tubing is kinked to prevent urine flow
c. Keep the catheter bag below bladder level to prevent backflow
d. Change the catheter every 4 hours
Answer: c. Keep the catheter bag below bladder level to prevent backflow