Questions 80

ATI RN

ATI RN Test Bank

ATI RN Capstone Proctored Comprehensive Assessment A Questions

Extract:


Question 1 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 2 of 5

A nurse is teaching the parents of a school-age child who has sickle cell anemia about managing the disease at home. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Headaches may indicate stroke, a sickle cell complication. Fluid restriction, cold compresses, and avoiding vaccines worsen outcomes.

Question 3 of 5

A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?

Correct Answer: D

Rationale: Referring to self by name at 24 months suggests a language delay; pronouns like 'I' or 'me' are expected. Other findings are age-appropriate.

Question 4 of 5

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?

Correct Answer: D

Rationale: Rotavirus vaccine is given at 2 months. Influenza starts at 6 months, hepatitis A at 12–23 months, and varicella at 12–15 months.

Question 5 of 5

A nurse is teaching a client who has a new prescription for sertraline to treat depression. For which of the following findings should the nurse instruct the client to monitor and report immediately as indicating serotonin syndrome?

Correct Answer: D

Rationale: Excessive sweating signals serotonin syndrome, a serious condition. Dry mouth, constipation, and insomnia are common side effects.

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