ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 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: Encouraging play with toys like a pounding board reduces anxiety. New routines, medical jargon, or assessments without parents may increase distress.
Rationale:
Question 2 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 high-pressure alarm indicates airway obstruction, often from secretions. Suctioning clears the airway. Tracheostomy, tightening connections, or checking for cuff leaks are not the priority.
Rationale:
Question 3 of 5
A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter. Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?
Correct Answer: Securing the catheter prevents urethral trauma, reducing UTI risk. Disconnecting tubing, keeping the bag at bladder level, or looping tubing increases infection risk.
Rationale:
Question 4 of 5
A nurse is teaching a client who has major depressive disorder about what to expect when undergoing electroconvulsive therapy. Which of the following information should the nurse give the client?
Correct Answer: Confusion is a common post-ECT side effect. Voice changes, specific wake-up times, or neck pulsations are not typical.
Rationale:
Question 5 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: