ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has diabetic ketoacidosis. During the shift, the client received 0.45% sodium chloride IV at 500 mL/hr for 3 hr, then at 200 mL/hr for 3 hr, and then dextrose 5% in water at 75 mL/hr for 2 hr. What is the total volume the nurse should document for the client's IV fluid intake?
Correct Answer: Total volume = (500 mL/hr × 3 hr) + (200 mL/hr × 3 hr) + (75 mL/hr × 2 hr) = 1500 mL + 600 mL + 150 mL = 2250 mL.
Rationale:
Question 2 of 5
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take?
Correct Answer: Observing post-meals monitors for refeeding syndrome. Vital signs and weights need more frequent checks, and eating in the room may increase isolation.
Rationale:
Question 3 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 4 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?
Correct Answer: Frequent swallowing may indicate bleeding, a critical post-tonsillectomy complication requiring immediate intervention.
Rationale:
Question 5 of 5
A nurse is caring for a client who is experiencing seizures due to alcohol withdrawal. Which of the following medications should the nurse plan to administer?
Correct Answer: Diazepam, a benzodiazepine, controls alcohol withdrawal seizures by enhancing GABA effects. Other medications treat dependence, not seizures.
Rationale: