ati pn capstone proctored comprehensive assessment
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ATI PN CAPSTONE
ATI PN CAPSTONE
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ATI Proctored Assessment
1. A nurse in a burn treatment center is caring for a a. Large incisions
client who is admitted with severe burns to both lower will be made in the
extremities and is scheduled for an escharotomy. The eschar to improve
client's spouse asks the nurse what the procedure circulation
entails. Which of the following nursing statements is
appropriate?
a. Large incisions will be made in the eschar to im-
prove circulation
b. I can call the doctor back here if you want me to
c. A piece of skin will be removed and grafted over the
burned area
d. Dead tissue will be surgically removed
2. A nurse is monitoring the fluid replacement of a client d. lactated ringers
who has sustained burns. Which of the following flu-
ids is used in the first 24 hours following a burn in-
jury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers
3. A nurse is caring for a client who has full-thickness c. obtain a central
burns all over 75% of his body. Which of the following venous pressure
methods is appropriate to accurately monitor the car-
diovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure
4. A nurse is assessing the depth and extent of a client d. Cause of the
who has severe burns to the face, neck, and upper burn
extremities. Which of the following factors is the first
priority when assessing the severity of the burn?
, ATI Proctored Assessment
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn
5. A client arrives at the emergency dept following an d. Maintain a
explosion at the chemical plant. He has deep partial patent airway
and full-thickness chemical burns over more than 25
% of his body surface area. What is the nurse's priority
intervention?
a. Initiate fluid resuscitation
b. Medication for pain
c. Administer antibiotics
d. Maintain a patent airway
6. A nurse is caring for a client who came the emergency c. A heart mus-
dept reporting chest pain. The provider suspects a my- cle protein that ap-
ocardial infarction. While waiting for the laboratory to pears in the blood-
report the client's troponin levels, the client asks what stream when there
this blood test will show. The nurse should explain is damage to the
that troponin is heart
a. An enzyme that indicates damage to brain, heart,
and skeletal muscle tissues
b. A protein whose levels reflect the risk for coronary
artery disease
c. A heart muscle protein that appears in the blood-
stream when there is damage to the heart
d. A protein that helps transport oxygen throughout
the body
7. A nurse is assessing a client who has disseminated d. Increased clot-
intravascular coagulation (DIC). Which of the follow- ting factor
ing should the nurse expect in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
, ATI Proctored Assessment
c. Immediate sodium and fluid retention
d. Increased clotting factor
8. A nurse is about to administer warfarin (Coumadin) to d. It prevents
a client who has atrial fibrillation. When the client asks strokes in clients
what his medication will do, which of the following is who have atrial fib-
an appropriate nursing response? rillation
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast
atrial impulses
d. It prevents strokes in clients who have atrial fibril-
lation
9. A nurse in a cardiac care unit is caring for a client with b. Elevated cen-
acute heart failure. Which of the following findings tral venous pres-
should the nurse expect? sure (CVP)
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary output
10. A client comes into the ED reporting nausea and vom- b. Increased
iting that worsens when lying down and without relief serum amylase
from antacids. The provider suspects acute pancreati-
tis. Which of the following lab test results should the
nurse expect to see if the client has acute pancreati-
tis?
a. Decreased WBC
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
11. A nurse in the ICU is caring for a client who has b. Adequate tidal
acute respiratory distress syndrome (ARDS) and is volume without
receiving mechanical via an endotracheal tube. The manually assisted
provider plans to extubate her within the next 24 hour. breaths
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