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RN ATI Capstone Proctored Comprehensive Assessment Form B Questions

Extract:


Question 1 of 5

A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?

Correct Answer: Evacuating clients ensures their safety, the top priority in a fire. Alarms, extinguishers, and containment follow.

Rationale:

Question 2 of 5

A nurse is admitting a client to the medical-surgical unit. The Patient Self-Determination Act requires the nurse to perform which of the following actions during the admission process?

Correct Answer: The Patient Self-Determination Act mandates documenting advance directives. Providing proxy lists, end-of-life education, or attorney contacts are not required.

Rationale:

Question 3 of 5

A nurse is teaching a client how to care for their behind-the-ear hearing aids. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: Disconnecting the battery when removing hearing aids conserves battery life. Fixed battery replacement schedules, alcohol cleaning, or cotton swabs can harm the device or ear.

Rationale:

Question 4 of 5

A nurse is assessing a client who is receiving enteral feedings via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client's feedings?

Correct Answer: Adding water reduces formula osmolarity, preventing hyperosmolar dehydration. Repositioning, increasing rate, or switching formulas do not address this issue.

Rationale:

Question 5 of 5

A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter. Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?

Correct Answer: Securing the catheter prevents urethral trauma, reducing UTI risk. Disconnecting tubing, keeping the bag at bladder level, or looping tubing increases infection risk.

Rationale:

Similar Questions

A nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A nurse is planning care for a client who has sciatica and a prescription for a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following referrals should the nurse anticipate for this client?
A charge nurse is evaluating a newly licensed nurse who is caring for a client who has measles. For which of the following actions by the newly licensed nurse should the charge nurse intervene?
A nurse is assessing a client who has schizophrenia prior to administering the client's next dose of clozapine. Which of the following findings should the nurse report to the provider?
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?

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