ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is teaching about leg and foot care to a client who has peripheral vascular disease of the lower extremities. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Lamb’s wool prevents skin breakdown between toes. Nylon socks, rounded toenails, and compression stockings risk complications.
Question 2 of 5
A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Monitoring temperature every 4 hours detects infections early. Clean technique, child visitors, and infrequent cleaning increase infection risk.
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 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2250
Rationale: Calculation: 500 mL/hr × 3 hr = 1500 mL; 200 mL/hr × 3 hr = 600 mL; 75 mL/hr × 2 hr = 150 mL.
Total = 1500 + 600 + 150 = 2250 mL.
Question 5 of 5
A nurse is caring for a client who is taking lithium. Which of the following findings should the nurse monitor for as an adverse effect of the medication?
Correct Answer: D
Rationale: Lithium can cause increased urinary output via nephrogenic diabetes insipidus. Chvostek’s sign, potassium increase, and constipation are not typical.