ATI RN
ATI RN Capstone Proctored Comprehensive Assessment Exam A Questions
Extract:
Vital Signs
0830:
Temperature 35.1° C (95.2° F)
Heart rate 44/min
Respiratory rate 10/min
Blood pressure 84/45 mm Hg
Oxygen Saturation 90% on room air
Nurses' Notes
0800:
Client brought by ambulance to the ED with shallow breaths, slurred speech, confusion, and pupillary constriction. Minor abrasions noted on upper and lower extremities. Deep tendon reflexes (DTRs) 1+. Client vomited twice while in the care of emergency medical services. Family member fou the client lying on the sidewalk in front of the house. The client had not returned home last night, and the family member was going to see if the client's car was parked in the driveway.
Client's family member stated the client has had a change in their mood recently and was fired from their job for lack of attendance. The client came to live with the family member about 3 weeks ago after the client's partner divorced them, and they were without housing. The family member reports the client has been struggling for about a year with their back pain
Question 1 of 5
A nurse is caring for a client in the emergency department (ED).Exhibits: Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Condition: Opioid intoxication (low vitals suggest opioid overdose). Actions: Obtain naloxone to reverse effects, prepare mechanical ventilation for respiratory depression. Parameters: Monitor pupillary reaction (miosis) and respiratory rate to assess treatment response.
Extract:
Question 2 of 5
A nurse is caring for a client who is postpartum and expresses concern about how her preschool-age son will react to having a baby sister. Which of the following strategies should the nurse suggest?
Correct Answer: C
Rationale: Give your son a little gift from his new sister. This fosters a positive association and inclusion. Hospital meetings aid bonding, alone time is unsafe, and holding the baby may make the son feel displaced.
Question 3 of 5
A nurse in a pediatric clinic is assessing a toddler at a well-child checkup. After reviewing the child's current medical record, which of the following interventions should the nurse expect the provider to prescribe?
Correct Answer: D
Rationale: Iron supplementation. The child’s low hemoglobin and hematocrit indicate mild anemia, likely from iron deficiency due to excessive milk intake. Antibiotics, protective environments, and transfusions are not indicated.
Question 4 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: A
Rationale: The Patient Self-Determination Act requires documenting the client’s advance directive status to ensure treatment preferences are respected. Attorneys, education, or proxy lists are not mandated.
Question 5 of 5
A nurse is caring for a preschooler who is in an acute care facility. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Encourage the child to play with toys such as a pounding board. This allows preschoolers to express emotions and relieve stress safely. New routines, medical terms, and excluding parents increase anxiety.