ATI RN
RN ATI Capstone Proctored Comprehensive Assessment Form B Questions
Extract:
Question 1 of 5
A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?
Correct Answer: Choosing a proximal site preserves veins and reduces complications. Palmar wrist veins are prone to infiltration, dominant arm choice is not prioritized, and larger catheters may increase phlebitis risk.
Rationale:
Question 2 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Correct Answer: Cleansing the meatus with antiseptic solution is the first step to reduce infection risk. Lubrication, draping, and syringe attachment follow after ensuring a sterile field.
Rationale:
Question 3 of 5
A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?
Correct Answer: Side rails prevent injury from seizures in severe preeclampsia. Low-protein diets, ambulation, and twice-daily fetal monitoring are not appropriate.
Rationale:
Question 4 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 5 of 5
A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?
Correct Answer: A right-sided PICC interferes with accurate blood pressure readings; use the left arm. Other conditions do not necessitate left-arm measurement.
Rationale: