ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 of 5
A nurse in an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: Double vision at 34 weeks of gestation is a potential sign of preeclampsia, which can lead to severe complications such as seizures, stroke, or organ damage. This client requires immediate assessment. Leg cramps, excessive salivation, and finger numbness are less urgent.
Extract:
Assessment
1900:
Client presents to the emergency department with a shoulder injury that occurred during a soccer game. Client is unable to elevate or extend their right arm. Client reports pain as 7 on a scale of 0 to 10. Client reports no significant past medical, surgical, or family history.
2000:
Emergency provider, respiratory therapist, and RN at bedside for reduction of right shoulder. Medications administered as prescribed.
Plan of Care
2000:
Plan for moderate sedation for right shoulder reduction.
Question 2 of 5
The nurse should prepare to administer _____ and _____ for a client undergoing shoulder reduction.
Correct Answer: B,C
Rationale: The nurse should prepare to administer naloxone and oxygen by face mask 10 L/min. Naloxone reverses opioid-induced respiratory depression, a risk during sedation. Oxygen maintains adequate oxygenation. Acetaminophen, fentanyl, and propofol are not appropriate for managing sedation complications.
Extract:
Question 3 of 5
A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states, 'I don't know what my surgery tomorrow is for.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The provider is responsible for explaining the procedure. Notifying them ensures the client receives proper information for informed consent. Documenting, offering alternatives, or explaining are not appropriate nurse actions.
Question 4 of 5
A nurse is caring for a client who has a terminal illness. The client tells the nurse, 'I have decided to discontinue my treatment. I want to pursue alternative therapies instead.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: What has your doctor told you about your treatment options? This ensures the client is informed and supports autonomy. Other responses are judgmental, dismissive, or delay discussion.
Question 5 of 5
A nurse in a provider's office is talking with an older adult client who tells the nurse that they fear they are 'aging badly' and feel 'so useless.' Which of the following assessment questions is the nurse's priority?
Correct Answer: C
Rationale: Do you ever think about harming yourself? This is the priority assessment question because feelings of worthlessness can indicate depression, which increases the risk of suicide in older adults. Assessing for self-harm ensures immediate safety. Other questions are relevant but secondary to safety.