ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states during a counseling session, 'I am sliding off a cliff.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Acknowledging the client’s fear is therapeutic and encourages discussion. Dismissing, reassuring falsely, or changing topics is not helpful.
Question 2 of 5
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Positioning the client first ensures optimal exposure for catheter insertion. Lubrication, syringe attachment, and cleansing follow.
Question 3 of 5
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A high-pressure alarm suggests airway obstruction, often from secretions. Suctioning clears the airway. Leaks or loose connections cause low-pressure alarms.
Question 4 of 5
A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?
Correct Answer: C
Rationale: DEET repels ticks, reducing Lyme disease risk. Symptoms appear 3–30 days post-bite, early testing may be inaccurate, and squeezing ticks risks infection.
Question 5 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like 'something opened up.' The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Covering with a saline-soaked dressing prevents tissue drying and infection. Trendelenburg, reinsertion, and frequent vitals are not priority actions.