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ATI COMPRHENSIVE A CAPSTONE QUIZ
WITH ACTUAL CORRECT ANSWERS
...
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
...
Rupture the amniotic sac
B
...
Prepare the client for a cesarean section
D
...
A nurse is caring for a toddler who has respiratory syncytial virus
...
Wear an N95 respiratory mask while caring for the toddler
B
...
Use a designated stethoscope when caring for the toddler
D
...
A nurse is performing a skin assessment for a client who is on bedrest
...
Encourage client fluid intake of 2,500 mL daily
B
...
Place a dehumidifier in the client's room

D
...
A nurse from the State Health Development is instructing a group of
nurses regarding reportable infections
...
Herpes simplex virus 2
B
...
Staphylococcus aureus
D
...
A nurse is planning care for a client following gastric bypass surgery
...
Limit your meals to three times per day
B
...
Start each meal with a protein source
D
...
A community health nurse is teaching a group of restaurant workers
about hepatitis A
...
Manifestations first appear 6 months after exposure to the virus
B
...
You can get hepatitis A by eating undercooked pork products

D
...
A home health nurse is admitting a client who is prescribed peritoneal
dialysis
...
Confirm schedule for delivery of supplies
B
...
Demonstrate how to perform the procedure
D
...
A nurse is performing an admission assessment for a client who is to
undergo a colonoscopy
...
Which of the following
medications is the priority to report to the provider?
A
...
Clopidogrel
C
...
Digoxin - CorreCt Answers -Metformin

8
...
The
nurse should assess for which of the following potential contraindications?
A
...
History of smoking
C
...
Family history of malignant hyperthermia - CorreCt Answers -Shellfish
allergy

9
...
Which of the following statements should the
nurse make?
A
...
Avoid discussing the funeral when your child is around
C
...
School-age children tend to view death as a temporary form of sleep CorreCt Answers -School-age children tend to view death as a temporary
form of sleep

10
...
Which of the
following is the highest priority for the client to report to the provider?
A
...
Dry mouth
C
...
Constipation - CorreCt Answers -Fever
11
...
Which of the following statements should the nurse
document in an incident report?
A
...
Client's roommate thinks the client is confused and fell when getting out
of bed
C
...
Client found lying on the floor near the bedside table - CorreCt Answers Client found lying on the floor near the bedside table

12
...
Which of the following clients is appropriate
to assign to the float nurse?
A
...
A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
C
...
A 14-year-old client who is scheduled for discharge today following
placement of a Herrington rod - CorreCt Answers -A 10-year-old client who
has pneumonia and is receiving respiratory treatments

13
...
The nurse should plan to monitor for which of the
following adverse reactions?
A
...
Ototoxicity
C
...
Hypertension - CorreCt Answers -Ototoxicity

14
...
Which of the
following findings should the nurse expect?
A
...
Elevated urine specific gravity
C
...
Increased hematocrit - CorreCt Answers -Thready pulse

15
...
The client has two school-age children and a
limited support system
...
Inform the client of available community resources
B
...
Agree upon short-term goals for the client
D
...
A nurse in an emergency department is assessing a client who has a
nasal fracture
...
Clear fluid drainage from the nares
B
...
Dried blood in the mouth
D
...
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
...
Profuse milky white discharge
B
...
Low-grade fever

D
...
A nurse is discussing the z-track administration of hydroxyzine with a
newly licensed nurse
...
This technique prevents injury to the sciatic nerve
B
...
This technique allows a larger amount of medication to be injected
D
...
A nurse is caring for a full-term newborn immediately following birth
...
Instill erythromycin ophthalmic ointment in the newborn's eyes
B
...
Place identification bracelets on the newborn
D
...
A nurse is planning to provide community education about viral
hepatitis
...
A series of four hepatitis vaccines is recommended to prevent viral
hepatitis
B
...
Chronic hepatitis can lead to renal cell cancer

D
...
A nurse in a residential mental health facility is planning care for a new
client who has obsessive compulsive disorder
...
Work with the client to create a flexible daily schedule
B
...
Offer solutions to assist in problem solving
D
...
A nurse is assessing an adult male who has a BMI of 20
...
Healthy weight
B
...
Overweight
D
...
A nurse is caring for a client who is nulliparous and in the first stage of
labor
...
At the end of the last contraction, the nurse observes a
large gush of fluid coming out of the client's perineal area
...
Perform another internal exam
B
...
Check the FHR
D
...
A nurse is creating a plan of care for a client who has anorexia nervosa
...
Encourage the client to gain 2
...
Weigh the client once per week throughout hospitalization
C
...
Allow the client to choose meal times - CorreCt Answers -I think its D

24
...
The nurse should understand that a
suspicious lesion is
A
...
Scaly and red
C
...
Firm and rubbery - CorreCt Answers -Asymmetric, with variegated
coloring

25
...
Which of the following actions should the nurse take?
A
...
Stand on the right side of the client when examining the left eye
C
...
Place the ophthalmoscope directly against the client's forehead - CorreCt
Answers -Dim the lights in the room prior to the examination

26
...

Which of the following actions should the nurse identify as an indication
that the newly licensed nurse understands wound irrigation?
A
...
Administers PO analgesia 20 min prior to irrigation
C
...
Irrigates the wound from the top to the bottom - CorreCt Answers Administers PO analgesia 20 minutes prior to irrigation

27
...
Which of the following
interventions should the nurse include in the plan of care?
A
...
Maintain the head at a midline position
C
...
Perform neurological checks every 4 hrs - CorreCt Answers -Maintain
the head at a midline position

28
...

Which of the following actions should the nurse take?
A
...
Tell the client to avoid drinking fluids 1 hr before bedtime
C
...
Advise the client to leave the television in the room on when trying to fall
asleep - CorreCt Answers -Tell the client to avoid drinking fluids 1 hr before
bedtime

40
...
Which of the following interventions should the
nurse include?
A
...
Check the newborn's temperature every 8 hrs
...
Administer 120 mL of water between feedings

D
...
A nurse is providing teaching to a client who is at 8 week gestation and
experiencing episodes of nausea and vomiting
...
Brush teeth immediately after eating
B
...
Drink 12 oz of water with each meal
D
...
A nurse is teaching a client who is scheduled for placement of a
peripherally inserted central catheter line
...
Your PICC line will allow long-term access for antibody therapy
B
...
Your PICC line must be placed in your nondominant arm
D
...
A nurse is planning care for a client who has schizophrenia and is
having difficulty expressing their feelings
...
Art therapist
B
...
Social worker
D
...
A nurse in a mental health clinic is observing clients in the day room
...
After a few minutes of conversation, the adolescent
asks the nurse, "Why did you choose to talk to me out of this room full of
kids?" Which of the following responses by the nurse is therapeutic?
A
...
Let's go see what activities are going on outside
C
...
You're curious why I am interested in you and not the others? - CorreCt
Answers -You're curious why I am interested in you and not the others

45
...
The nurse should identify that which of the following activities is a
secondary level of prevention?
A
...
Tuberculosis screenings
C
...
Evaluations of bloodborne pathogen policies - CorreCt Answers Tuberculosis screenings

46
...
Which of the following findings indicates the client is
experiencing an adverse effect of the medication
A
...
Weight gain of 1
...
Increased urinary output
D
...
A nurse is caring for a client who is postoperative following a bowel
surgery and has an NG tube connected to low intermittent suction
...
Wall suction set to 60 mmHg
B
...
Aspirate pH of 3
D
...
A nurse is caring for-Place the infusion pump cord against the baseboards

58
...
Which of the following client
statements indicates the nurse should contact the surgeon?
A
...
The physical therapy has not been working, so I will need to have the
surgery
C
...
I am thankful there are no serious complications from this type of
surgery - CorreCt Answers -I am thankful there are no serious
complications from this type of surgery

59
...

Which of the following interventions should the nurse take so that the client
will best tolerate ambulation?
A
...
Premedicate the client with the prescribed analgesic
C
...
Reinforce the client's surgical dressing - CorreCt Answers -Premedicate
the client with the prescribed analgesic

60
...
The nurse anticipates the need for which of the following
equipment?
A
...
Cervical collar
C
...
Pulse oximeter - CorreCt Answers -Pulse oximeter
61
...

Which of the following client behaviors should the nurse identify as
consistent with this disorder?
A
...
Avoids interacting with others
C
...
Socially awkward in group situations - CorreCt Answers -Uses others for
personal gain

62
...
The nurse should include
which of the following as a potential adverse effect of the medication?
A
...
Discoloration
C
...
Alopecia - CorreCt Answers -Burning

63
...

Which of the following statements should the nurse include in the
teaching?
A
...
"
B
...
"
C
...
"
D
...
" - CorreCt
Answers -Report a weight gain of one-half pound per day

64
...
Which of the following
information should the nurse plan to include in the teaching about UTI
prevention?
A
...
Wear nylon underwear
C
...
Increase the time between voiding - CorreCt Answers -Empty the
bladder before and after intercourse

65
...
Which of the following should the nurse
recommend the client increase in their diet during lactation?
A
...
Iron
C
...
Calcium - CorreCt Answers -Iron

66
...
Which of
the following findings indicates a need to withhold the medication?
A
...
Pulse 54/min
C
...
2 mEq/L
D
...
A nurse is providing teaching about preventing mastitis to a client who
is postpartum and breastfeeding her newborn
...
"Wear an underwire bra between feedings
...
"Cover your breasts immediately after feedings
...
"Apply cold compresses to your breasts before feedings
...
"Try to have your baby empty your breasts with each feeding
...
A nurse is caring for a client who is receiving total parenteral nutrition
...
Blood glucose level of 120 mg/dL
B
...
Oral temperature of 37
...
Weight increase of 2 kg in the past 24 hours - CorreCt Answers -Weight
increase of 2 kg in the past 24 hr

69
...
Which of the
following findings indicates myocardial damage?
A
...
Troponin I 1
...
Erythrocyte sedimentation rate 17 mm/hr
D
...
8 ng/mL

70
...
Which of the following findings should the nurse report to the
provider?
A
...
Report of dry mouth
C
...
Potassium level 4
...
A nurse is providing teaching to a client who has osteoporosis and a new
prescription for alendronate
...
"I will take this medication within 15 minutes of eating
...
"I will take this medication at bedtime
...
"I will take this medication with 8 ounces of water
...
"I will increase my caffeine intake while taking this medication
...
A nurse is caring for a client who experienced a stroke and has
dysphagia
...
The client tucks his chin while swallowing food
B
...
The client pockets food on one side of his mouth
D
...
A nurse is caring for a group of clients
...
A client who has chronic obstructive pulmonary disease and needs
guidance on incentive spirometry
B
...
A client who had a stroke 2 days ago and needs help toileting
D
...
A nurse is caring for a client who is receiving continuous enteral
feedings and reports diarrhea
...
Discard opened cans of formula after 24 hrs
B
...
Irrigate the tubing every 12 hr with 50 mL of warm water
D
...
A nurse is caring for an adolescent who is receiving treatment for heart
failure
...
Administer furosemide
B
...
Withhold spironolactone
D
...
A nurse is reviewing the employee health program for new employees
...
Sputum culture

B
...
QuantiFERON-TB Gold blood analysis
D
...
A nurse is providing teaching about car seat safety to the parent of a
term newborn
...
"I should place a rolled blanket along each side of my baby's head in the
car seat
...
"I should place my baby's car seat rear-facing until 6 months of age
...
"I should put the car seat retainer clip at the level of my baby's belly
button
...
"I should position my baby's car seat at a 90-degree angle in the car
...
A nurse in the labor and delivery unit is reviewing medications for a
group of clients
...
Levothyroxine for hypothyroidism
B
...
Magnesium oxide for constipation
D
...
An emergency department nurse triages a group of school children
injured in a school bus crash
...
A child who has a forehead wound that is bleeding copiously
B
...
A child who reports diplopia and nausea and was unconscious at the
scene but is now awake
D
...
A nurse is caring for a client who is receiving total parental nutrition
...
Constipation
B
...
Hypotension
D
...
A nurse is analyzing the laboratory data on a client who has
dehydration
...
Decreased serum osmolarity
B
...
Elevated blood urea nitrogen
D
...
A nurse is performing high-frequency chest compressions using a
mechanical chest compression device for a child who has cystic fibrosis
...
The child develops a dry, hacking cough
B
...
The child has increased sputum production
D
...
A nurse in an inpatient mental health facility is caring for a client who
has major depressive disorder and refuses to take her medication
...
Explain to the client the consequences of refusal
B
...
Document the client's refusal in the medical record
D
...
A nurse is providing discharge teaching about disease prevention to a
client who has active tuberculosis
...
Educating the client how to cover nose and mouth with tissues when
coughing
B
...
Instructing the client that he is no longer contagious after 1 week of
medication therapy
D
...
A nurse is caring for a client following a possible exposure to anthrax
...
Administer an antitoxin
B
...
Monitor the client for a productive cough
D
...
A nurse is caring for a client who has a newly implanted sealed internal
radiation device to treat cervical cancer
...
Prohibit visitors for the first 24 hrs
B
...
Maintain the client on bed rest for 72 hr
D
...
A nurse is admitting a client to the medical-surgical unit
...
Place the client's valuables in the facility's safe
B
...
Administer prescribed medications
D
...
A nurse is assessing a client in the PACU
...
Oliguria

B
...
Shivering
D
...
A nurse in a newborn nursery is performing assessments on four
neonates that are all less than 24 hr old
...
Head circumference 1 cm greater than chest
B
...
Passage of meconium stool
D
...
A nurse is providing teaching to the guardian of a school-age child who
has a new prescription for ferrous sulfate capsules PO
...
Add the contents of the capsules to food
B
...
Administer the medication with a glass of orange juice
D
...
A nurse at a public health clinic is caring for a group of clients
...
Herpes simplex virus (HSV) type 1
B
...
Human papillomavirus (HPV)
D
...
A nurse is giving change of shift report about a client who is 36 hr
postoperative to another nurse
...
Daily bath given at 1000
B
...
Flushed IV with 0
...
Pain relieved by position change - CorreCt Answers -Pain relieved by
position change

93
...
Which of the following actions should the charge nurse
identify as an effective time management skill?
A
...
Completes activities for one client before moving to the next client
C
...
Skips break times to catch up on charting - CorreCt Answers -Completes
activities for one client before moving to the next client

94
...

Which of the following client conditions is a contraindication to this
medication?
A
...
Crohn's disease
C
...
Bronchitis - CorreCt Answers -Hepatitis C

95
...
When admitting a client who is experiencing acute liver failure
and who has ascites and an NG tube, which of the following tasks is most
appropriate for the nurse to delegate to the LPN?
A
...
Obtain the abdominal girth now and every 4 hr
C
...
Measure the amount of gastric drainage every 2 hr - CorreCt Answers Insert an indwelling catheter if the client has not voided in 3 hr

96
...
For which of the
following findings should the nurse monitor when assessing for acute
compartment syndrome
A
...
Shortness of breath
C
...
Change in mental status - CorreCt Answers -Edema

97
...
Which of the following findings should the nurse
expect?
A
...
Meiosis
C
...
Hypothermia - CorreCt Answers -Hyperreflexia

98
...
Which assessment finding
indicates to the nurse that the client is developing DI?
A
...
028
B
...
Serum sodium of 155 mEq/L
D
...
A nurse is planning to perform wound irrigation for a client who has an
open secondary wound

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