ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B 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: Calmly following commands indicates the client is no longer a danger, allowing restraint discontinuation. Tightness, duration, or explanations are secondary.
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 school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: Placing a tuning fork on the head assesses sound lateralization in Weber's test. Other actions are not part of this procedure.
Rationale:
Question 4 of 5
A nurse is teaching a class about providing care within the legal scope of practice to a group of nurses. The nurse should include that which of the following procedures is outside the legal scope of practice for an RN?
Correct Answer: Inserting tunneled catheters requires advanced training, unlike tracheostomy care, transfusions, or ear irrigation, which are within RN scope.
Rationale:
Question 5 of 5
A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?
Correct Answer: Side rails prevent injury from seizures in severe preeclampsia. Low-protein diets, ambulation, and twice-daily fetal monitoring are not appropriate.
Rationale: