ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Question 1 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: C
Rationale: The client is able to calmly follow commands. This indicates self-control and reduced risk of harm, allowing restraint discontinuation. Duration, insight, or discomfort do not solely justify removal.
Question 2 of 5
A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
Correct Answer: C
Rationale: The child was brought to the ED 2 days after the injury occurred. A delay in seeking medical care for a significant injury is a potential warning sign of child maltreatment and warrants further investigation. The guardian wanting to accompany the child is typical parental behavior. A fall from a swing is a plausible explanation, though it should be verified. Crying due to pain is expected with a fracture and not indicative of maltreatment.
Question 3 of 5
A nurse observes two assistive personnel (AP) discussing a client's information in the facility cafeteria. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Reminding the AP about confidentiality is the appropriate immediate response to provide education and prevent future breaches. Notifying the client, ethics committee, or filing a report are excessive for a minor, first-time violation.
Question 4 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.
Question 5 of 5
A nurse is implementing crisis intervention for a client following an incident of partner violence. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Ensuring the client’s immediate safety is the priority to protect from further harm. Coping skills, support systems, and expressing feelings are secondary to safety.