Questions 71

ATI RN

ATI RN Test Bank

RN ATI Capstone Proctored Comprehensive Assessment Form B Questions

Extract:


Question 1 of 5

A nurse is documenting admission data for a client on an acute care facility. Which of the following actions should the nurse take?

Correct Answer: Starting with a comprehensive data evaluation ensures accurate documentation. Summaries, living wills, and vital signs are secondary.

Rationale:

Question 2 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 3 of 5

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?

Correct Answer: Telehealth services support diabetes management in rural areas by providing remote monitoring and education, promoting independence. Adult day care, assisted living, or long-term care may not be necessary for an independent client.

Rationale:

Question 4 of 5

A nurse is documenting admission data for a client on an acute care facility. Which of the following actions should the nurse take?

Correct Answer: Starting with a comprehensive data evaluation ensures accurate documentation. Summaries, living wills, and vital signs are secondary.

Rationale:

Question 5 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:

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