ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A charge nurse is observing assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?
Correct Answer: Alcohol-based rubs are ineffective against C. difficile; soap and water are required. Other actions are within AP scope.
Rationale:
Question 2 of 5
A nurse is assessing a client who is in mechanical restraints after hitting a staff member. Which of the following findings indicates that the nurse should discontinue the restraints?
Correct Answer: Calmly following commands indicates the client is no longer a danger, allowing restraint discontinuation. Tightness, duration, or explanations are secondary.
Rationale:
Question 3 of 5
A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride IV at 500 mL/hr for 3 hr, then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 mL/hr for 2 hr. What is the total volume the nurse should document for the client's IV fluid intake?
Correct Answer: Total volume = (500 mL/hr × 3 hr) + (200 mL/hr × 3 hr) + (75 mL/hr × 2 hr) = 1500 mL + 600 mL + 150 mL = 2250 mL.
Rationale:
Question 4 of 5
A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?
Correct Answer: Acute epiglottitis with drooling indicates potential airway obstruction, a medical emergency requiring immediate assessment.
Rationale:
Question 5 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg and their abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: Severe pain, bleeding, contractions, hypotension, and rigid abdomen indicate placental abruption. Uterine rupture occurs during labor, placenta previa is painless, and amniotic fluid embolus involves respiratory distress.
Rationale: