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RN ATI Capstone Proctored Comprehensive Assessment Form B Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 2 days postpartum. Which of the following findings should the nurse report to the provider?

Correct Answer: Hyperactive (4+) reflexes may indicate preeclampsia. Normal urine output, scant lochia, and mild edema are expected postpartum findings.

Rationale:

Question 2 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:

Question 3 of 5

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The client reports chills, headache, low-back pain, and a feeling of 'tightness' in their chest. The nurse should identify that the client has developed which of the following types of transfusion reactions?

Correct Answer: Symptoms like chills, headache, low-back pain, and chest tightness suggest an acute hemolytic reaction, often due to ABO incompatibility, requiring immediate intervention.

Rationale:

Question 4 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 5 of 5

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?

Correct Answer: Disconnecting the battery when removing hearing aids conserves battery life. Fixed battery replacement schedules, alcohol cleaning, or cotton swabs can harm the device or ear.

Rationale:

Similar Questions

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?
A community health nurse is developing a plan of care for an older adult client who has type 2 diabetes mellitus and lives independently in a rural area. Which of the following interventions should the nurse include?
A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?
A nurse is planning assignments for the upcoming shift. Which of the following tasks should the nurse delegate to an assistive personnel?
A nurse in an acute mental health facility is teaching a client about the potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that they may feel lightheaded, but that it should not affect their memory. The nurse is demonstrating which of the following ethical principles?

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