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RN ATI Capstone Proctored Comprehensive Assessment Form B Questions

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Question 1 of 5

A nurse is assessing a client who is postoperative following orthopedic surgery. Which of the following findings should the nurse identify as an indication of paralytic ileus?

Correct Answer: Abdominal distention indicates paralytic ileus due to gas and fluid accumulation. Watery stool, dizziness, and oliguria are not typical.

Rationale:

Question 2 of 5

A nurse is teaching about how to suppress lactation with a client who is postpartum and bottle feeding their newborn. Which of the following instructions should the nurse include in the teaching?

Correct Answer: A snug bra suppresses lactation by reducing stimulation. Moist heat, fluid limits, and milk expression stimulate production.

Rationale:

Question 3 of 5

A nurse is providing dietary teaching to the guardian of a preschooler who has celiac disease. Which of the following foods should the nurse recommend including in the preschooler's diet?

Correct Answer: Corn tortillas and black beans are gluten-free, safe for celiac disease. Rye bread, whole wheat pasta, and barley contain gluten, which is harmful to individuals with celiac disease.

Rationale:

Question 4 of 5

A nurse is caring for a client who has a peritoneal catheter that requires a dressing change. Identify the sequence of actions the nurse should take.

Correct Answer: Masking first reduces infection risk, followed by removing the old dressing, creating a sterile field, and applying gauze pads to maintain asepsis.

Rationale:

Question 5 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:

Similar Questions

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?
A nurse is caring for a female client who requires bed rest and reports difficulty urinating into a bedpan. Which of the following actions should the nurse take?
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?
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?

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