ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home. Which of the following instructions should the nurse include?
Correct Answer: Sudden headaches may indicate a crisis or stroke. Immunizations are essential, heat (not cold) relieves pain, and hydration prevents crises.
Rationale:
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new ostomy. Which of the following instructions should the nurse include?
Correct Answer: Emptying the pouch when half full prevents leakage. A pink, moist stoma is healthy, moisturizing soap can interfere with adhesion, and sterile gloves are not needed.
Rationale:
Question 4 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:
Question 5 of 5
A nurse is assessing a client who is taking digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing digoxin toxicity?
Correct Answer: Blurred vision is a classic sign of digoxin toxicity. Hearing loss, insomnia, and tachycardia are not typical.
Rationale: